Emergency Severity Index: accuracy in risk classification
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Einstein (São Paulo) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000400421 |
Resumo: | ABSTRACT Objective: To verify agreement between estimative of predicted resources using the adapted Emergency Severity Index and the real amount of resources used by patients. To analyze the variables number of years since graduation, years of work experience and years of experience in emergency services especially with accurate anticipation of resources need. Methods: This retrospective analytical study with a quantitative approach included 538 medical records of patients assisted by 11 triage nurses. Data collected were related to assistances carried out from December 2012 to February 2013. Results: There was no significant association between the adequacy of the number of resources used, based on Emergency Severity Index score, number of years since graduation, year of work experience or years of experience in emergency services. Kappa agreement coefficient (0.34) showed that agreement was low between predicted and real used number of resources. Conclusion: Nurses’ accuracy index to predict resources for patients care from emergency room using the adapted Emergency Severity Index was lower than results reported in the studies in the literature that used the original scale. There was low agreement of diagnostic exams predicted by nurses and those really performed. There was no association among correct prediction of resources needed, number of years since graduation, years of experience in emergency services and years of work experience in the unit where the study was done. |
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Emergency Severity Index: accuracy in risk classificationTriageEmergency medical servicesRisk assessmentEmergency nursingProtocolsABSTRACT Objective: To verify agreement between estimative of predicted resources using the adapted Emergency Severity Index and the real amount of resources used by patients. To analyze the variables number of years since graduation, years of work experience and years of experience in emergency services especially with accurate anticipation of resources need. Methods: This retrospective analytical study with a quantitative approach included 538 medical records of patients assisted by 11 triage nurses. Data collected were related to assistances carried out from December 2012 to February 2013. Results: There was no significant association between the adequacy of the number of resources used, based on Emergency Severity Index score, number of years since graduation, year of work experience or years of experience in emergency services. Kappa agreement coefficient (0.34) showed that agreement was low between predicted and real used number of resources. Conclusion: Nurses’ accuracy index to predict resources for patients care from emergency room using the adapted Emergency Severity Index was lower than results reported in the studies in the literature that used the original scale. There was low agreement of diagnostic exams predicted by nurses and those really performed. There was no association among correct prediction of resources needed, number of years since graduation, years of experience in emergency services and years of work experience in the unit where the study was done.Instituto Israelita de Ensino e Pesquisa Albert Einstein2017-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000400421einstein (São Paulo) v.15 n.4 2017reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.1590/s1679-45082017ao3964info:eu-repo/semantics/openAccessSilva,Joselito Adriano daEmi,Angélica SantosLeão,Eliseth RibeiroLopes,Maria Carolina Barbosa TeixeiraOkuno,Meiry Fernanda PintoBatista,Ruth Ester Assayageng2018-01-18T00:00:00Zoai:scielo:S1679-45082017000400421Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2018-01-18T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false |
dc.title.none.fl_str_mv |
Emergency Severity Index: accuracy in risk classification |
title |
Emergency Severity Index: accuracy in risk classification |
spellingShingle |
Emergency Severity Index: accuracy in risk classification Silva,Joselito Adriano da Triage Emergency medical services Risk assessment Emergency nursing Protocols |
title_short |
Emergency Severity Index: accuracy in risk classification |
title_full |
Emergency Severity Index: accuracy in risk classification |
title_fullStr |
Emergency Severity Index: accuracy in risk classification |
title_full_unstemmed |
Emergency Severity Index: accuracy in risk classification |
title_sort |
Emergency Severity Index: accuracy in risk classification |
author |
Silva,Joselito Adriano da |
author_facet |
Silva,Joselito Adriano da Emi,Angélica Santos Leão,Eliseth Ribeiro Lopes,Maria Carolina Barbosa Teixeira Okuno,Meiry Fernanda Pinto Batista,Ruth Ester Assayag |
author_role |
author |
author2 |
Emi,Angélica Santos Leão,Eliseth Ribeiro Lopes,Maria Carolina Barbosa Teixeira Okuno,Meiry Fernanda Pinto Batista,Ruth Ester Assayag |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Silva,Joselito Adriano da Emi,Angélica Santos Leão,Eliseth Ribeiro Lopes,Maria Carolina Barbosa Teixeira Okuno,Meiry Fernanda Pinto Batista,Ruth Ester Assayag |
dc.subject.por.fl_str_mv |
Triage Emergency medical services Risk assessment Emergency nursing Protocols |
topic |
Triage Emergency medical services Risk assessment Emergency nursing Protocols |
description |
ABSTRACT Objective: To verify agreement between estimative of predicted resources using the adapted Emergency Severity Index and the real amount of resources used by patients. To analyze the variables number of years since graduation, years of work experience and years of experience in emergency services especially with accurate anticipation of resources need. Methods: This retrospective analytical study with a quantitative approach included 538 medical records of patients assisted by 11 triage nurses. Data collected were related to assistances carried out from December 2012 to February 2013. Results: There was no significant association between the adequacy of the number of resources used, based on Emergency Severity Index score, number of years since graduation, year of work experience or years of experience in emergency services. Kappa agreement coefficient (0.34) showed that agreement was low between predicted and real used number of resources. Conclusion: Nurses’ accuracy index to predict resources for patients care from emergency room using the adapted Emergency Severity Index was lower than results reported in the studies in the literature that used the original scale. There was low agreement of diagnostic exams predicted by nurses and those really performed. There was no association among correct prediction of resources needed, number of years since graduation, years of experience in emergency services and years of work experience in the unit where the study was done. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000400421 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000400421 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1679-45082017ao3964 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
dc.source.none.fl_str_mv |
einstein (São Paulo) v.15 n.4 2017 reponame:Einstein (São Paulo) instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) instacron:IIEPAE |
instname_str |
Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
instacron_str |
IIEPAE |
institution |
IIEPAE |
reponame_str |
Einstein (São Paulo) |
collection |
Einstein (São Paulo) |
repository.name.fl_str_mv |
Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
repository.mail.fl_str_mv |
||revista@einstein.br |
_version_ |
1752129908850556928 |