Enhancing triage accuracy: The influence of nursing education on risk prediction

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2024-06-26 DOI:10.1016/j.ienj.2024.101486

Arian Zaboli , Serena Sibilio , Magdalena Massar , Gloria Brigiari , Gabriele Magnarelli , Marta Parodi , Michael Mian , Norbert Pfeifer , Francesco Brigo , Gianni Turcato

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引用次数: 0

Abstract

Aim

This study aimed to compare the performance in risk prediction of various outcomes between specially trained triage nurses and the Manchester Triage System (MTS).

Design

Prospective observational study.

Methods

The study was conducted from June 1st to December 31st, 2023, at the Emergency Department of Merano Hospital. Triage nurses underwent continuous training through dedicated courses and daily audits. We compared the risk stratification performed by expert nurses with that of MTS on various outcomes such as mortality, hospitalisation, and urgency defined by the physicians. Comparisons were made using the Areas Under the Receiver Operating Characteristic curve (AUROC).

Results

The agreement in code classification between the MTS and the expert nurse was very low. The AUROC curve analysis showed that the expert nurse outperformed the MTS in all outcomes. The triage nurse’s experience led to statistically significant better stratification in admission rates, ICU admissions, and all outcomes based on the physician’s assessment.

Conclusions

The continuous training of nurses enables them to achieve better risk prediction compared to standardized triage systems like MTS, emphasizing the utility and necessity of implementing continuous training pathways for these highly specialised personnel.

查看原文本刊更多论文

提高分诊准确性：护理教育对风险预测的影响。

目的：本研究旨在比较经过专门培训的分诊护士和曼彻斯特分诊系统（MTS）在预测各种结果的风险方面的表现：方法：前瞻性观察研究：研究于 2023 年 6 月 1 日至 12 月 31 日在梅拉诺医院急诊科进行。分诊护士通过专门课程和日常审核接受了持续培训。我们比较了专家护士与 MTS 对各种结果（如死亡率、住院率和医生定义的紧急程度）进行的风险分层。比较采用的是接收者操作特征曲线下面积（AUROC）：结果：MTS 和专家护士在代码分类方面的一致性非常低。AUROC 曲线分析表明，专家护士在所有结果上都优于分诊护士。根据医生的评估，分诊护士的经验在入院率、重症监护室入院率和所有结果的分层上都有显著的统计学意义：结论：与 MTS 等标准化分诊系统相比，对护士的持续培训能使其实现更好的风险预测，这强调了对这些高度专业化人员实施持续培训途径的实用性和必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.