The 4th International Conference on Nursing

Author :

Fitriyanti N Idrus

Affiliation :

Master of Nursing Program, Universitas Brawijaya, Malang, Indonesia

Abstract :

Introduction CTAS considers five priority levels of triage: CTAS level 1: resuscitation; CTAS level 2: Emergency; CTAS level 3: Urgent; CTAS level 4: Less Urgent; CTAS level 5, No urgent. The aim of this review is to check the level of validity and reliability of the Canadian Triage Acuity Scale. Method This systematic review conduct by searching and analyzing all eligible studies from 2007-2017 through electronic database: Science Direct, Proquest, and PubMed. This review consist of quantitative research investigating the reliability and validity of the Canadian Triage Acuity Scale for the broad population of adults and children visiting the emergency department. Result Seven studies were included in the review. The studies investigated the inter- and intra-rater reliability using the ‘‘kappa’’ statistic; the validity was tested with many measures: validity in predicting mortality, hospital admission, under- and over triage, used resources, and length of stay in the emergency department, as well as a reference standard rating. Conclusions Canadian Triage Acuity Scale shows a wide inter-rater agreement range with a prevalence of good and very good agreement. Its safety was low because of the high rate of under triage and the low sensitivity in predicting higher urgency levels. The quality of the reporting in studies of the reliability and validity of the Canadian Triage Acuity Scale (CTAS) is good.

Keywords :

Validity; Reliability; Canadian Triage Acuity Scale (CTAS); Emergency Department