Reliability and performance of the Swiss Emergency Triage Scale used by paramedics

Autor: Olivier Grosgurin, Angèle Gayet-Ageron, Véronique Trombert, Adolfo Villar, Olivier Thierry Rutschmann, François Sarasin, Christophe Marti, Laurent Suppan, Josette Simon
Rok vydání: 2017
Předmět:
Male
Emergency Medical Services
emergency triage scale
Cross-sectional study
Intraclass correlation
emergency medical service
Allied Health Personnel
Simulation Training/methods
Triage/methods
Simulated patient
03 medical and health sciences
0302 clinical medicine
medicine
Emergency medical services
Humans
Prospective Studies
Allied Health Personnel/education
Simulation Training
Reliability (statistics)
ddc:613
Aged
ddc:616
Observer Variation
ddc:618
ddc:617
business.industry
Reproducibility of Results
030208 emergency & critical care medicine
Original Articles
prehospital
medicine.disease
Triage
Confidence interval
Cross-Sectional Studies
Scale (social sciences)
ddc:618.97
Emergency Medicine
Female
Medical emergency
Clinical Competence
paramedics
computerized simulator
business
030217 neurology & neurosurgery
Switzerland
Zdroj: European Journal of Emergency Medicine
European Journal of Emergency Medicine, Vol. 26, No 3 (2019) pp. 188-193
ISSN: 1473-5695
0969-9546
Popis: Objectives No general emergency department triage scale has been evaluated for prehospital triage. The objective of this study was to evaluate the reliability and the performance of the Swiss Emergency Triage Scale (SETS) used by paramedics to determine the emergency level and orientation of simulated patients. Patients and methods In a prospective cross-sectional study, 23 paramedics evaluated 28 clinical scenarios with the SETS using interactive computerized triage software simulating real-life triage. The primary outcome was inter-rater reliability regarding the triage level among participants measured by intraclass correlation coefficient (ICC). Secondary outcomes were the accuracy of triage level and the reliability and accuracy of orientation of patients of at least 75 years to a dedicated geriatric emergency centre. Results Twenty-three paramedics completed the evaluation of the 28 scenarios (644 triage decisions). Overall, ICC for triage level was 0.84 (95% confidence interval: 0.77-0.99). Correct emergency level was assigned in 89% of cases, overtriage rate was 4.8%, and undertriage was 6.2%. ICC regarding orientation in the subgroup of simulated patients of at least 75 years was 0.76 (95% confidence interval: 0.61-0.89), with 93% correct orientation. Conclusion Reliability of paramedics rating simulated emergency situations using the SETS was excellent, and the accuracy of their rating was very high. This suggests that in Switzerland, the SETS could be safely used in the prehospital setting by paramedics to determine the level of emergency and guide patients to the most appropriate hospital.
Databáze: OpenAIRE
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