TY  - JOUR
PY  - 2013//
TI  - Validation of the Hong Kong Accident and Emergency Triage guidelines
JO  - Hong Kong medical journal
A1  - Fan, M. Mw
A1  - Leung, L. P.
SP  - 198
EP  - 202
VL  - 19
IS  - 3
N2  - OBJECTIVE. To validate the Hong Kong Accident and Emergency Triage guidelines. DESIGN. Retrospective chart review. SETTING. The Accident and Emergency Department of a tertiary hospital in Hong Kong. PARTICIPANTS. Patients who attended the Accident and Emergency Department on one day in February 2012. MAIN OUTCOME MEASURES. The inter-rater reliability in two pairs of nurses grouped according to experience and validity as compared with an expert panel. RESULTS. Of the 100 patients recruited and triaged into levels 1 to 5, the weighted kappa coefficient (inter-rater reliability) for the two pairs of nurses was 0.699 and 0.717, respectively. The weighted kappa coefficient for validity was 0.766. When only patients in triage levels 3 and 4 were included, the weighted kappa coefficient for reliability dropped to 0.632 and 0.585, respectively. The weighted kappa coefficient for validity also decreased to 0.558. CONCLUSIONS. The overall inter-rater reliability and validity of the Guidelines appeared acceptable. Further revision of the Guidelines on triaging patients to levels 3 or 4 is probably necessary.<p />  <p>Language: en</p>
LA  - en
SN  - 1024-2708
UR  - http://dx.doi.org/10.12809/hkmj133900
ID  - ref1
ER  -