Effectiveness of Triage Mobile Application Compares with Paper Based

Authors

  • Namthip Imwatthanakul Department of Emergency Medicine, Bhumibol Adulyadej Hospital, RTAF, Bangkok, Thailand
  • Yuwat Thanangool Department of Emergency Medicine, Bhumibol Adulyadej Hospital, RTAF, Bangkok, Thailand
  • Varalee Aphinives Department of Emergency Medicine, Bhumibol Adulyadej Hospital, RTAF, Bangkok, Thailand

Keywords:

BAHT mobile application, accuracy, inter-rater reliability

Abstract

Objectives : To evaluate the BAHT mobile application in terms of accuracy and inter-rater reliability compared with the original paper form.
Research Methodology : Analytic study. The population of the study was patients who presented to the emergency room, Bhumibol Adulyadej hospital during 1 September to 31 October 2018. The patients were evaluated by triage nurses and emergency medical residents in a simple random sampling used the BAHT mobile application or the original paper form. The gold standard was determined by three professional emergency physicians based on Bhumibol Adulyadej Hospital triage handbook 2018. The Kappa statistic indicated the level of agreement between two categorical assessments and the Chi-square test indicated the accuracy.

Results : Over two months, 480 ED patients were assessed; 459 (96%) completed data were available. The Kappa statistics in the original paper form was 0.34 (95%CI 0.28-0.40) P-value < 0.0001 and the BAHT mobile application was 0.88 (95%CI 0.84-0.92) P-value < 0.0001. The percentage of accuracy in the original paper form was 71.37% in the resident group 69 Thai Journal of Emergency Medicine and 81.06% in the nurse triage group. In the BAHT mobile application, the percentage of accuracy in the resident group was 90.95% and in the triage nurse group was 92.24%.

Conclusions : The BAHT mobile application had significantly more effective than the original paper form in terms of accuracy and inter-rater reliability and the users had a confident and satisfaction to BAHT mobile application

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References

1. Improving patient flow and reducing emergency department crowding: a guide for hospitals. Available at: https://www.ahrq.gov/sites/default/files/publications/files/ptflowguide.pdf. Retrieved April 17, 2018

2. Fry, M, Bucknall, T.K. Review of the triage literature: Past, present, future? Aust Emerg Nurs J 2002; 5(2): 33-8.

3. National Institute of Emergency Medicine. Guidelines to follow the rules, criteria and procedures to sort and prioritize emergency care at the emergency room, according to the Emergency Medical Board. 3rd ed. Nonthaburi. 2015.

4. Christ M, Grossmann F, Winter D, Binggisser R, Platz E. Modern Triage in the Emergency Department. Dtsch Arztebl Int 2010; 107(50):892-98

5. Sandy L. Dong, Michael J. Bullard, David P. Meurer, Ian Colman, Sandra Blitz, Brian R. Holroyd et al. Emergency triage: comparing a novel computer triage program with standard triage. Acad Emerg Med 2005; 12: 502–7

6. Timothy F. Platts-Mills, Debbie Travers, Kevin Biese, Brenda McCall, Steve Kizer, Michael LaMantia et al. Accuracy of the Emergency Severity Index triage instrument for identifying elder emergency department patients receiving an immediate life-saving intervention. Acad Emerg Med 2010; 17(3): 238–43.

7. Karin Jordi, Florian Grossmann, Gary M. Gaddis, Eva Cignacco, Kris Denhaerynck, René Schwendimann et al. Nurses’ accuracy and self-perceived ability using the Emergency Severity Index triage tool: a cross-sectional study in four Swiss hospitals. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2015; 23: 62

8. Sorravit Savatmongkorngul, Chaiyaporn Yuksen, Chanakarn Suwattanasilp, Kittisak Sawanyawisuth, Yuwares Sittichanbuncha. Is a mobile emergency severity index (ESI) triage better than the paper ESI? Intern Emerg Med 2017; 12: 1273–7

9. William K. Holstein, Alphonse Chapanis. Human-factors engineering. Available at: https://www.britannica.com/topic/human-factors-engineering. Retrieved April 29, 2018.

Published

2019-12-31

How to Cite

1.
Imwatthanakul N, Thanangool Y, Aphinives V. Effectiveness of Triage Mobile Application Compares with Paper Based. TJEM [Internet]. 2019 Dec. 31 [cited 2023 Feb. 1];1(2):66-84. Available from: https://he02.tci-thaijo.org/index.php/TJEM/article/view/251620

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Section

RESEARCH ARTICLE