儿童曼彻斯特分诊系统的可重复性。
Repeatability of the Manchester Triage System for children.
机构信息
Department of Paediatrics, Erasmus MC-Sophia Children's Hospital, University Medical Center Rotterdam, 3000 CB Rotterdam, The Netherlands.
出版信息
Emerg Med J. 2010 Jul;27(7):512-6. doi: 10.1136/emj.2009.077750. Epub 2010 Jun 1.
OBJECTIVE
The authors aimed to assess the repeatability of the Manchester Triage System (MTS) in children.
METHODS
All emergency department nurses (n=43) from a general teaching hospital and a university children's hospital in The Netherlands triaged 20 written case scenarios using the Manchester Triage system. Second, at two emergency departments (EDs), real-life simultaneous triage of patients (<16 years) was performed by ED nurses and two research nurses. The written case scenarios and the patients included in the real-life simultaneous triage study were representative of children attending the ED, in age, problem and urgency level. The authors assessed inter-rater agreement using quadratic weighted kappa values.
RESULTS
The weighted kappa between the nurses, triaging the case scenarios, was 0.83 (95% CI 0.74 to 0.91). In total, 88% (N=198) of the eligible ED patients were triaged simultaneously, with a weighted kappa of 0.65 (95% CI 0.56 to 0.72).
CONCLUSIONS
The MTS showed good to very good repeatability in paediatric emergency care.
目的
作者旨在评估曼彻斯特分诊系统（MTS）在儿童中的可重复性。
方法
荷兰一家综合教学医院和一家大学儿童医院的所有急诊护士（n=43）使用曼彻斯特分诊系统对 20 个书面病例情景进行分诊。其次，在两个急诊科（ED），ED 护士和两名研究护士同时对患者（<16 岁）进行真实的同时分诊。书面病例情景和真实同时分诊研究中纳入的患者在年龄、问题和紧急程度方面代表了到 ED 就诊的儿童。作者使用二次加权 Kappa 值评估了评分者间的一致性。
结果
对病例情景进行分诊的护士之间的加权 Kappa 值为 0.83（95%CI 0.74 至 0.91）。共有 88%（N=198）符合条件的 ED 患者同时进行了分诊，加权 Kappa 值为 0.65（95%CI 0.56 至 0.72）。
结论
MTS 在儿科急诊护理中具有良好到非常好的可重复性。
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