Risk classification in an emergency room: agreement level between a Brazilian institutional and the Manchester Protocol

Revista Latino-Americana de Enfermagem

Cristiane Chaves De Souza¹  Alexandre Duarte Toledo¹  Luiza Ferreira Ribeiro Tadeu¹  Tânia Couto Machado Chianca¹ 

关键词: Nursing;    Emergency Medical Services;    Triage;    Enfermagem;    Serviços Médicos de Emergência;    Triagem;    Enfermería;    Servicios Médicos de Urgencia;    Triaje;   

DOI  :  10.1590/S0104-11692011000100005

来源: SciELO

【 摘 要 】

The aim of this study was to assess the level of agreement between an institutional protocol and the Manchester protocol for the risk assessment of patients attended in an emergency room of a public hospital in Belo Horizonte - MG - Brazil. This is a descriptive and comparative study, in which 382 patients' reports were evaluated and the risk was classified, using the institutional protocol and the Manchester protocol. Rates were calculated through weighted and unweighted kappa, in order to determine the level of agreement between the protocols. The results showed that the correlation between the protocols is average when considering that classification errors occurred between neighboring colors (kappa=0.48), and good when considering that classification errors occurred between extreme colors (kappa=0.61). The Manchester protocol increased the patients' level of priority of patients and has been considered more inclusive.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License