Inter-rater reliability of assessments for triage severity classifications across Victorian emergency departments.
Using simulated patient scenarios, the current project will conduct inter-rater reliability assessments for triage severity classifications among hospitals providing emergency care to children. The project is therefore focused on assessing variation in Triage category 4 and 5 presentations (diagnosis, time of presentation, age, demographics) and consistency of classification of Triage category 4 and 5 across hospital EDs.
The research team will construct 5 detailed patient case presentations for children of mild/moderate severity which would meet criteria for triage category 4 or 5. The presentations will be provided in written form to 10 health care personnel at each of the 3 study hospitals (Northern, Sunshine and RCH) with responsibility for determining triage category for ED presentations. The Kappa statistic to assess inter-rater reliability will be calculated both for the personnel within and between each hospital.
The research is being funded by the Northern Melbourne Medicare Local, Royal Children's Hospital Foundation, and the Department of Health, State Government of Victoria.
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