Unique ID issued by UMIN | UMIN000027615 |
---|---|
Receipt number | R000031476 |
Scientific Title | Study of the inter-rater reliability of two triage tools by Japan Triage and Acuity Scale(JTAS) and Emergency Severity Index (ESI) : A randomized trial. |
Date of disclosure of the study information | 2017/06/22 |
Last modified on | 2020/06/02 21:32:02 |
Study of the inter-rater reliability of two triage tools by Japan Triage and Acuity Scale(JTAS) and Emergency Severity Index (ESI) : A randomized trial.
Study of the inter-rater reliability of two triage tools by Japan Triage and Acuity Scale(JTAS) and Emergency Severity Index (ESI) : A randomized trial.
Study of the inter-rater reliability of two triage tools by Japan Triage and Acuity Scale(JTAS) and Emergency Severity Index (ESI) : A randomized trial.
Study of the inter-rater reliability of two triage tools by Japan Triage and Acuity Scale(JTAS) and Emergency Severity Index (ESI) : A randomized trial.
Japan |
Subjects will be recruited the triage nurses using the JTAS in emergency department. This study will divide subjects into two groups.
Gastroenterology | Emergency medicine | Adult |
Others
NO
The aim of this study is to compare the accuracy of acuity decision between the ESI and the JTAS, and to clarify whether the ESI can be applied to the emergency department in Japan.
Safety,Efficacy
Confirmatory
Explanatory
Phase II,III
The primary endpoint will establish the inter-rater reliability of the results on practice cases in each group. In addition, the secondary endpoint will establish the inter-rater reliability of the results on practice cases in each urgency criteria.
At first, the Visual Analog Scale which can be indicator of subjective evaluation will be employed to measure usability of each triage tool. Secondary, the total time taken to solve practice cases is related between the ESI and the JTAS.
Interventional
Parallel
Randomized
Individual
Single blind -participants are blinded
Active
YES
NO
Institution is considered as adjustment factor in dynamic allocation.
YES
Pseudo-randomization
2
Treatment
Maneuver |
After completion of training with the ESI for 3 hours, subjects in each group will solve 100 practice cases.
After completion of review with the JTAS for 3 hours, subjects in each group solved 100 practice cases.
Not applicable |
Not applicable |
Male and Female
Subjects have experienced in triage for 2 years or more and less than 5 years, have experienced in nurse for 5 years or more and less than 20 years. Moreover, subjects had participated in the triage seminar. Also subjects have used triage tool with the JTAS on a daily basis.
The exception criteria were as follows; except certified nurse specialist of critical care nursing and Japanese nurse practitioner.Subjects do not have chance of acuity decision on a daily basis.
50
1st name | Koichi |
Middle name | |
Last name | Takaoka |
Kansai University of Social Welfare
Faculty of Nursing
678-0255
380-3 Sinden, Ako, Hyogo
0791-46-2686
takaoka@kusw.ac.jp
1st name | Koichi |
Middle name | |
Last name | Takaoka |
Kansai University of Social Welfare
Faculty of Nursing
678-0255
380-3 Sinden, Ako, Hyogo
0791-46-2686
takaoka@kusw.ac.jp
Department of nursing, Faculty of Nursing, Kansai University of Social Welfare.
Japan Society of Private Colleges and Universities of Nursing
Other
Research ethics committee of Kansai University of Social Welfare
380-3 Sinden, Ako, Hyogo
0791-46-2525
kusw-kango@kusw.ac.jp
NO
2017 | Year | 06 | Month | 22 | Day |
https://www.jstage.jst.go.jp/article/jsem/22/6/22_753/_pdf/-char/ja
Published
https://www.jstage.jst.go.jp/article/jsem/22/6/22_753/_pdf/-char/ja
18
A quadratically weighted kappa was used tomeasure inter-observer reliability; the ESI was superior to the JTAS in concordance rate(0.82 and 0.74, respectively). For all rating categories, except level 5, the Fleiss' Kappa was higher in the ESI group. The ESI was more sensitive for category level 2, as an indication of high-risk situations, than the JTAS.
2020 | Year | 01 | Month | 08 | Day |
2020 | Year | 01 | Month | 08 | Day |
Eighteen JTAS-trained triage nurses, from 3 Japanese EDs, were randomly assigned to the ESI group or JTAS group. Nurses independently assigned triage scores to 100 emergency cases.
Four indexes were used: accuracy, each urgency accuracy of rating individual category-stage, answer time, and a subjective usability.
There were no significant differences in age, clinical experience, or JTAS experience between groups.
N/ A
As a scale to evaluate the agreement between evaluators in the decision of emergency, we verified with the Kappa coefficient, which is an index of inter-evaluator reliability.
Completed
2017 | Year | 03 | Month | 08 | Day |
2017 | Year | 03 | Month | 08 | Day |
2017 | Year | 06 | Month | 03 | Day |
2018 | Year | 06 | Month | 30 | Day |
2018 | Year | 09 | Month | 18 | Day |
2018 | Year | 09 | Month | 21 | Day |
2018 | Year | 09 | Month | 30 | Day |
2017 | Year | 06 | Month | 03 | Day |
2020 | Year | 06 | Month | 02 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031476