Abstract
Background In most emergency departments (ED) around the world, patients are initially assessed using a triage system or risk stratification tools. The result of the scores is an important factor in determining the course of treatment for critically ill patients. Several different systems are used, but most include blood pressure, respiratory rate, pulse, and level of consciousness and the individual systems then have a number of different parameters. Considering the vital role the results of these scores have on the course of treatment, the number of studies on inter-observer reliability is limited. The aim of this study was to measure the inter-observer variability when assessing patients using the Danish Emergency Process Triage (DEPT) (using only vital signs), the Modified Early Warning Score (MEWS), the HOTEL score, the Simple Clinical Score (SCS) and PARIS score.
Highlights
In most emergency departments (ED) around the world, patients are initially assessed using a triage system or risk stratification tools
The aim of this study was to measure the inter-observer variability when assessing patients using the Danish Emergency Process Triage (DEPT), the Modified Early Warning Score (MEWS), the HOTEL score, the Simple Clinical Score (SCS) and PARIS score. This is a questionnaire study, based on video recordings made at the admission of acutely ill medical patients to the emergency department
The videos were recorded during the first 10-15 minutes after arrival of the patient to the department of emergency medicine at Sydvestjysk Sygehus Esbjerg
Summary
In most emergency departments (ED) around the world, patients are initially assessed using a triage system or risk stratification tools. The result of the scores is an important factor in determining the course of treatment for critically ill patients. Several different systems are used, but most include blood pressure, respiratory rate, pulse, and level of consciousness and the individual systems have a number of different parameters. Considering the vital role the results of these scores have on the course of treatment, the number of studies on inter-observer reliability is limited. The aim of this study was to measure the inter-observer variability when assessing patients using the Danish Emergency Process Triage (DEPT) (using only vital signs), the Modified Early Warning Score (MEWS), the HOTEL score, the Simple Clinical Score (SCS) and PARIS score
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