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Interobserver agreement in Reception and Risk Stratification in Obstetrics implementation.
Manuela Beatriz Velho1, Luciana Santos Pimentel1, Fernanda Amâncio Soares da Silva1
1Universidade Federal de Santa Catarina. Florianópolis, Santa Catarina, Brazil.
Revista Brasileira De Enfermagem
|December 19, 2024
Summary
Interobserver agreement in obstetric triage risk stratification was assessed. Higher priority levels showed improved agreement, suggesting protocol effectiveness for urgent cases.
Area of Science:
- Obstetrics
- Healthcare Quality Improvement
- Medical Triage
Background:
- Effective risk stratification in obstetric triage is crucial for patient safety.
- The Reception and Risk Stratification in Obstetrics protocol aims to standardize this process.
- Assessing interobserver agreement is key to validating protocol implementation.
Purpose of the Study:
- To analyze interobserver agreement in the implementation of the Reception and Risk Stratification in Obstetrics protocol.
- To evaluate the reliability of risk stratification assigned by triage nurses compared to researcher review.
Main Methods:
- A cross-sectional study involving 891 participants during protocol implementation in a tertiary hospital.
- Risk stratification assigned by triage nurses was compared with researcher-reviewed stratification.
- Interobserver agreement was analyzed using the Kappa coefficient.
Main Results:
- Most participants (55.6%) were stratified as not very urgent (green).
- Kappa values for agreement ranged from 0.20 (blue) to 0.80 (orange).
- Interobserver agreement increased with higher priority levels (yellow and orange).
Conclusions:
- The Reception and Risk Stratification in Obstetrics protocol demonstrated varying levels of interobserver agreement.
- Agreement improved for higher urgency levels, indicating potential effectiveness in prioritizing critical cases.
- Further refinement may be needed for lower-priority stratification to enhance consistency.
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