Emergency Severity Index: accuracy in risk classification

Detalhes bibliográficos
Autor(a) principal: Silva,Joselito Adriano da
Data de Publicação: 2017
Outros Autores: Emi,Angélica Santos, Leão,Eliseth Ribeiro, Lopes,Maria Carolina Barbosa Teixeira, Okuno,Meiry Fernanda Pinto, Batista,Ruth Ester Assayag
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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spelling 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
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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
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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)
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instname_str Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)
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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)
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