产科接收与风险分层中的观察者间一致性实施情况。
Interobserver agreement in Reception and Risk Stratification in Obstetrics implementation.
作者信息
Velho Manuela Beatriz, Pimentel Luciana Santos, Silva Fernanda Amâncio Soares da, Trapani Junior Alberto, Ventura Thayná, Almeida Adaiana Fátima, Costa Roberta, Knobel Roxana
机构信息
Universidade Federal de Santa Catarina. Florianópolis, Santa Catarina, Brazil.
出版信息
Rev Bras Enferm. 2024 Dec 13;77(5):e20230361. doi: 10.1590/0034-7167-2023-0361. eCollection 2024.
OBJECTIVES
to analyze interobserver agreement in the Reception and Risk Stratification in Obstetrics protocol implementation.
METHODS
a cross-sectional study carried out during Reception and Risk Stratification in Obstetrics implementation, conducted in a tertiary hospital in southern Brazil with 891 participants in January 2020. Descriptive and interobserver agreement analysis was carried out using the Kappa coefficient in the risk stratification assigned by the triage nurse and reviewed by the researcher.
RESULTS
around half of the calls (55.6%) were stratified as not very urgent (green), followed by urgent (yellow) (31.8%), very urgent (orange) (9.3%), not urgent (blue) (3.4%) and no emerging stratification (red). Agreement analysis of revised stratification found Kappa values of 0.20 (blue), 0.54 (green), 0.77 (yellow) and 0.80 (orange).
CONCLUSIONS
most appointments were non-urgent. The agreement analysis between the revised and assigned risk stratification revealed greater interobserver agreement as the priority level increased.
目的
分析产科接诊与风险分层方案实施过程中的观察者间一致性。
方法
于2020年1月在巴西南部一家三级医院开展了一项横断面研究，该研究在产科接诊与风险分层实施期间进行，共有891名参与者。使用Kappa系数对分诊护士进行的风险分层并经研究人员审核后的情况进行描述性和观察者间一致性分析。
结果
约一半的呼叫（55.6%）被分层为不太紧急（绿色），其次是紧急（黄色）（31.8%）、非常紧急（橙色）（9.3%）、不紧急（蓝色）（3.4%）以及无新分层（红色）。修订分层的一致性分析发现，蓝色的Kappa值为0.20，绿色为0.54，黄色为0.77，橙色为0.80。
结论
大多数预约不紧急。修订后的风险分层与分配的风险分层之间的一致性分析表明，随着优先级的提高，观察者间的一致性更强。
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