Effectiveness of Triage Mobile Application Compares with Paper Based
Keywords:
BAHT mobile application, accuracy, inter-rater reliabilityAbstract
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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