Abstract:
INTRODUCTION:This study investigates the interrater reliability and the accuracy of Manchester Triage (MTS) at emergency departments in Western Sweden. METHODS:A group of 79 nurses from seven emergency departments assessed simulated patient cases and assigned triage categories using the same principles as in their daily work. K statistics, accuracy, over-triage and under-triage were then analyzed. The nurses performed 1027 triage assessments. RESULTS:The result showed an unweighted kappa value of 0.61, a linear weighted kappa value of 0.71, and a quadratic weighted kappa value of 0.81. The determined accuracy was 92% and 91% for the two most urgent categories, but significantly lower for the less urgent categories. CONCLUSIONS:Patients in need of urgent care were identified in more than nine out of 10 cases. The high level of over-triage and under-triage in the less urgent categories resulted in low agreement and accuracy. This may suggest that the resources of emergency departments can be overused for non-urgent patients.
journal_name
Int Emerg Nursjournal_title
International emergency nursingauthors
Olofsson P,Gellerstedt M,Carlström EDdoi
10.1016/j.ienj.2008.11.008subject
Has Abstractpub_date
2009-07-01 00:00:00pages
143-8issue
3eissn
1755-599Xissn
1878-013Xpii
S1755-599X(08)00134-1journal_volume
17pub_type
杂志文章abstract:BACKGROUND:Family presence during resuscitation (FPDR) has advantages for the patients' family member to be present at the bedside. However, FPDR is not regularly practiced by nurses, especially in low to middle income countries. The purpose of this study was to determine Iranian nurses' and family members' attitudes t...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2017.05.001
更新日期:2017-09-01 00:00:00
abstract::Alcohol abuse is a major cause of morbidity and mortality and subsequently presents a substantial burden on the NHS. Whether presentations are directly or indirectly linked, the emergency department (ED) holds a predominant role in dealing with this matter. Alcohol withdrawal syndrome is a common complication of alcoh...
journal_title:International emergency nursing
pub_type: 杂志文章,评审
doi:10.1016/j.ienj.2009.09.001
更新日期:2010-04-01 00:00:00
abstract:INTRODUCTION:One of several quality indicators that are relevant to study is patient's satisfaction with health care in the ambulance services. Regular measurements of patient satisfaction in this field have not been carried out previously and a validated method of measurement is lacking. PURPOSE:This study aimed to m...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2010.03.002
更新日期:2011-04-01 00:00:00
abstract:BACKGROUND:In 1998 in Victoria, Australia, the Nurse Practitioner (NP) model was considered with projects exploring the potential for NP implementation in emergency departments (EDs). AIMS:The aim of this study is to explore the perceived barriers to progression and sustainability of the NP role in Victoria. A survey ...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2009.09.003
更新日期:2010-07-01 00:00:00
abstract::[Background] Emergency departments world-wide report service demands which exceed resource availability. Themes such as crowding, non-urgent presentations, ambulance diversion and access block have been linked to complications in care, poorer patient outcomes, increased morbidity and staff burnout. People attending th...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2016.09.003
更新日期:2016-11-01 00:00:00
abstract:AIM:This study investigates possible differences in the perception of quality of care at an emergency department, as related to patient background and visit characteristics. METHODS:The study uses a prospective, descriptive survey design with data collected in May 2002 from the emergency department of a Swedish univer...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2008.07.006
更新日期:2008-10-01 00:00:00
abstract::The number of older adults presenting to EDs following a fall continues to rise, yet falls management often ignores opportunities for secondary falls risk reduction. Advanced Nurse Practitioners (ANPs) in EDs have an important clinical leadership role in improving outcomes for this group of patients. AIM:This study d...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2020.100869
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:Family witnessed resuscitation is the practice of enabling patients' family members to be present during resuscitation. Research is inconsistent as to the effectiveness or usefulness of this initiative. AIM:To evaluate the performance of two scales that assess perceptions of family witnessed resuscitation a...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2011.10.003
更新日期:2013-01-01 00:00:00
abstract:INTRODUCTION:Previous studies indicate that crowding scales may not perform well in low-volume emergency departments (EDs). In this study, face-validity of the Modified National ED OverCrowding Score (mNEDOCS) was assessed in a high-volume ED as well as in a low-volume ED. METHODS:A prospective observational cohort st...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2018.05.004
更新日期:2018-11-01 00:00:00
abstract:INTRODUCTION:Inter-facility transport (IFT) is a dynamic process and its quality largely depends on pre-transport preparation, emergency equipment support and recognition of possible en route adverse events. This study aims to evaluate knowledge of IFT among emergency nurses of three Accident and Emergency Departments ...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2008.05.001
更新日期:2008-07-01 00:00:00
abstract::The development of the Swedish ambulance service has resulted in three different competence levels in Swedish ambulance teams: specialist ambulance nurses, registered nurses and emergency medical technicians. A nursing scientific model developed by Peplau (Peplau, H., 1991. Interpersonal Relations in Nursing. Springer...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2012.10.003
更新日期:2013-10-01 00:00:00
abstract::Alcohol and other drug (AOD) diagnoses in the ED co-occur with injury-related presenting conditions including: falls, motor vehicle accidents, poisonings, and both intentional and unintentional injuries. Clinical attention to ED admissions resulting from hazardous AOD use can significantly improve patient care and red...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2016.12.003
更新日期:2017-07-01 00:00:00
abstract:STUDY AIM:This research aims to explore patient satisfaction with ED physiotherapy within the Australian context by providing a qualitative perspective with in-depth exploration of the factors underlying patients' satisfaction. The physiotherapist was part of the Emergency Department Allied Health Team of social worker...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2009.11.008
更新日期:2010-10-01 00:00:00
abstract:UNLABELLED:In the everyday work at emergency departments (EDs), the patients being cared for have different needs and perceived symptoms. To meet their need for emergency care, knowledge of the work is important. The aim of this study is to explore the everyday work at a Swedish ED from a practitioner's perspective. M...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2011.06.007
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:There are many pressures placed on Emergency Departments (EDs) and anecdotally patients with low acuity abdominal pain can spend a long time in ED waiting for treatment. AIMS:This paper examines the practices in two EDs in Melbourne, Australia. Firstly, the characteristics of low acuity abdominal pain prese...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2008.01.006
更新日期:2008-04-01 00:00:00
abstract:AIM:The aim of the study was to identify the types of knowledge that Swedish Emergency Medical Service (EMS) managers considered desirable in their Ambulance Clinicians. BACKGROUND:Emergency medical service managers are responsible for organisational tasking and in this are dependent on the knowledge possessed by thei...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2017.03.007
更新日期:2017-09-01 00:00:00
abstract::Atrial fibrillation (AF) is the most commonly seen arrhythmia and its prevalence increases with age. In the general population, rates of 1-2% are reported but in older patients, the rates increase to over 10% (in those aged 85years or older). Many older patients present to the emergency department (ED) with complaints...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2012.05.003
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVES:The aim in this study was to investigate the impact of overcrowding on the Australasian Triage Score's (ATS) time to treatment target and the National Emergency Access Target (NEAT) for patients who self-present to the Emergency Department (ED) with abdominal pain. BACKGROUND:The causes and effects of ED ov...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2016.08.003
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Early warning Score is a bedside track and trigger system used to facilitate early detection and management of deteriorating patients. Although emergency department nurses are the key to implement this task, their interaction and contribution to provide an estimate of patients' severities is still suboptimal...
journal_title:International emergency nursing
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ienj.2019.03.005
更新日期:2019-07-01 00:00:00
abstract:AIM:To ascertain congruence between patients' self-report of pain intensity and nurses' assessment of their pain intensity. METHODS:This study adopted a replication methodology which aimed to ascertain congruence between patients' self-report of pain intensity and nurses' assessment of their pain intensity. Raw statis...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2007.09.003
更新日期:2008-01-01 00:00:00
abstract:INTRODUCTION:There are a number of perceived benefits and barriers to family presence during resuscitation (FPDR) in the emergency department, and debate continues among health professionals regarding the practice of family presence. AIM:This review of the literature aims to develop an understanding of the perceived b...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2013.07.001
更新日期:2014-04-01 00:00:00
abstract:INTRODUCTION:Research has demonstrated that children are at particular risk for oligoanalgesia due to assessment difficulties when they are unable to self-report. We sought to evaluate the psychometric properties of the Modified Preverbal, Early Verbal Pediatric Pain Scale (M-PEPPS) when used in an emergency department...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2011.01.003
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:Topical application of lidocaine in wounds has been studied in combination with vasoconstrictive additives, but the effect without these additives is unknown. The objective was to examine use of lidocaine-soaked gauzes without vasoconstrictive agents, in traumatic wounds in adult patients, applied in triage....
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2016.02.005
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVES:The Hague Protocol is used by professionals at the adult Emergency Departments (ED) in The Netherlands to detect child abuse based on three parental characteristics: (1) domestic violence, (2) substance abuse or (3) suicide attempt or self-harm. After detection, a referral is made to the Reporting Center for...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2014.09.004
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:Increasing emergency department (ED) visits per capita, combined with an aging population and ongoing budgetary constraints in Canada's health care system necessitate continuous improvements to ensure that patients remain safe and continue to receive high quality care. Addressing ED nursing job satisfaction ...
journal_title:International emergency nursing
pub_type: 杂志文章,评审
doi:10.1016/j.ienj.2019.100814
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:Pain is one of the most common symptoms in the Emergency Department (ED) and is the cause of more than half of the visits to the ED. Several attempts to improve pain management have been done by using, for example, standards/guidelines and education. To our knowledge no one has investigated if and how differ...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2015.06.006
更新日期:2016-03-01 00:00:00
abstract:INTRODUCTION:Accountability in nursing practice is a concept that influences quality care, decision-making, safety standards and staff values. Therefore, understanding accountability and how it affects nursing practice could improve patient care and nurses' working conditions. AIM:The aim of this study was to find fac...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2019.05.003
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:The aim of this study was to assess whether the use of alcohol and medicinal drugs among rescue workers as a consequence of the 22 July terrorist attack was associated with post-traumatic stress symptoms, and explore if there were differences between affiliated and unaffiliated rescue workers. METHODS:Ten m...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2016.03.003
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:The morbidity and mortality rates from heat illness have increased due to a higher number of heatwaves. Effective urgent care of heat illness is crucial for optimizing patient outcomes. However, few studies have examined the emergency preparedness measures required for treating such patients. METHODS:From D...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2020.100957
更新日期:2021-01-01 00:00:00
abstract:INTRODUCTION:In hospitals, the places where the highest rate of violence is perpetrated are emergency departments (EDs). Evaluating patient relatives' perceptions of violence and obtaining their views about how to prevent violence incidents are important in terms of uncovering the factors that increase violent behavior...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2020.100942
更新日期:2021-01-01 00:00:00