Validity and Reliability of the Emergency Severity Index in a Spanish Hospital

Luis Miguel Cairós-Ventura, Maria de las Mercedes Novo-Muñoz, José Ángel Rodríguez-Gómez, Ángela María Ortega-Benítez, Elena María Ortega-Barreda and Armando Aguirre-Jaime
Additional contact information
Luis Miguel Cairós-Ventura: Health Services Management of La Palma, Gerencia de Servicios Sanitarios, 38713 La Palma, Spain
Maria de las Mercedes Novo-Muñoz: Faculty of Health Sciences, Nursing Section, University of La Laguna, 38200 Tenerife, Spain
José Ángel Rodríguez-Gómez: Faculty of Health Sciences, Nursing Section, University of La Laguna, 38200 Tenerife, Spain
Ángela María Ortega-Benítez: Faculty of Health Sciences, Nursing Section, University of La Laguna, 38200 Tenerife, Spain
Elena María Ortega-Barreda: Health Services Management of La Palma, Gerencia de Servicios Sanitarios, 38713 La Palma, Spain
Armando Aguirre-Jaime: Health Care Research Institute of the Santa Cruz de Tenerife College of Nursing, Colegio Oficial de Enfermeros de Santa Cruz de Tenerife, 38001 Tenerife, Spain

IJERPH, 2019, vol. 16, issue 22, 1-8

Abstract: Saturation in hospital emergency departments is one of the main safety problems for the patient, which can generate negative consequences for their health. In response to this issue, triage systems are developed to organize the flow of patients in order to allow the most urgent ones to be treated first. The Emergency Severity Index (ESI) is the most used triage system in the USA and it has been implemented in the General Hospital of La Palma since 2010. The objective of this study is the validation of the ESI adapted to our hospital through the study of its degree of reliability, as well as the criterion validity. The sample consisted of 240 randomly selected cases, with proportional representation of emergencies attended in 2015 and their fraction of urgent ones (Levels 1 and 2). Criterion validity was estimated by sensitivity, specificity, and predictive result values. For reliability, the degree of agreement among the nurses was studied by means of the adapted kappa index k c2 . Criterion validity showed a sensitivity of 89% (85–93%) and a specificity of 97% (94–99%), with a positive predictive value of 68% (62–74%) and a negative predictive value of 99% (98–100%) for the discrimination of urgent cases. The reliability analysis showed a k c2 = 0.94 (0.84–0.99) index, a very good agreement according to Landis-Koch criteria. The results of our study have shown adequate validity and reliability in the adaptation and implementation of an ESI triage system suited to the specific conditions of a hospital emergency service in Spain.

Keywords: emergency service; hospital; triage; validation studies as topic; validity and reliability of the emergency severity index in a Spanish hospital (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/16/22/4567/pdf (application/pdf)
https://www.mdpi.com/1660-4601/16/22/4567/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:16:y:2019:i:22:p:4567-:d:288297

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().