Inter-rater Reliability of the Modified Emergency Severity Index as a Triage Tool.
- Author:
Yoo Seok PARK
1
;
Jin Kyung CHO
;
Cheon Jae YOON
;
In Cheol PARK
;
Kyeong Ryong LEE
;
Seung Ho KIM
Author Information
1. Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Korea. edksh@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Triage;
Emergency department, Reliability
- MeSH:
Adult;
Disclosure;
Emergencies*;
Emergency Medicine;
Humans;
Triage*
- From:Journal of the Korean Society of Emergency Medicine
2002;13(3):324-328
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Triage in the emergency departmen (ED) is the preliminary clinical sorting process before full disclosure of patients' problems so that patients with the highest acuity are treated first in the setting of resource constraints. To overcome the inter-rater variability of existing triage tools, the Emergency Severity Index (ESI) was developed and was shown to be both valid and reliable in practice. Because of the disparity in practice patterns and some inappropriate criteria in the original ESI, the authors have modified the ESI and determined its inter-rater reliability. METHODS: We applied the modified ESI to a convenient sample of adults who visited an urban academic ED between July 24, 2001, and August 5, 2001. After completion of a short, 4-hour training course on the modified ESI, an intern and emergency medicine resident pair triaged the patients independently. The inter-rater reliability was measured using a weighted kappa analysis and was categorized as excellent (>or=0.8), good (0.60-0.79), or fair (
