Reliability of vital signs measured at triage

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
Andrew WorsterElaine Chemeris

Abstract

To determine the reliability of vital signs measured at triage in the emergency department. The vital signs of all consenting ambulatory patients 16 years old and above presenting at triage were measured by the duty triage nurse as standard practice and then repeated by a single, blinded, trained observer within 2 min of the initial assessment using the same (manual or electronic) methods. The results were analysed using paired sample t-tests. No significant difference was found in the repeated electronic measurement of oxygen saturation [95% confidence interval (CI) -0.30-0.46, P=0.687] or repeated manual measurement of respiratory rate (95% CI -1.04-1.76, P=0.613). A statistically but not clinically significant difference of 2.43 bpm was found in the repeated electronic measurement of heart rate (95% CI 0.52-4.33, P=0.013). The manual and electronic measurements of vital signs at triage appear to be reliable.

References

Mar 1, 1989·The Journal of Emergency Medicine·E A HookerJ E Brown
Jul 29, 1999·Annals of Emergency Medicine·R BeveridgeS Walter

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Citations

Jan 10, 2014·The Open Medical Informatics Journal·N GenesK Baumlin
Jun 20, 2015·PloS One·Louise Gramstrup NielsenMikkel Brabrand
Jun 28, 2006·Pediatric Emergency Care·James Choi, Ilene Claudius
Oct 11, 2020·Journal of Advanced Nursing·Noa KallioinenMarcus O Watson

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