A new Bayesian method for the estimation of emergency nurses’ thresholds and agreement in the context of telephone triage
IntroductionTriage is the process aimed at ensuring that patients receive a level and quality of care matching the urgency of their conditions. The present study focuses on telephone triage. We discuss the application of a new decision-making model to the task of telephone triage.MethodsThe model al...
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Frontiers Media S.A.
2025-02-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1477844/full |
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| author | Michele Vicovaro Giuseppe Mignemi Massimo Nucci Luigi Bolognani Sara Iannattone Giovanni Bruno Giovanni Bruno Andrea Spoto |
| author_facet | Michele Vicovaro Giuseppe Mignemi Massimo Nucci Luigi Bolognani Sara Iannattone Giovanni Bruno Giovanni Bruno Andrea Spoto |
| author_sort | Michele Vicovaro |
| collection | DOAJ |
| description | IntroductionTriage is the process aimed at ensuring that patients receive a level and quality of care matching the urgency of their conditions. The present study focuses on telephone triage. We discuss the application of a new decision-making model to the task of telephone triage.MethodsThe model allows to estimate the nurse’s Belonging Threshold (BT), which quantifies the minimum level of severity of an emergency scenario that leads the nurse to activate a rescue vehicle with emergency devices. The BT can be used as an index of the possible tendency of the nurse to systematically over-or under-triage. The model also provides accurate estimations of the level of agreement between different nurses, and between the nurses and reference experts, net of the noise due to the possible differences between the nurses’ BTs.Results and discussionThe model and the related experimental procedure were applied to a sample of 21 emergency nurses at the SUEM 118 Operations Center in Venice. We discuss how the model can be useful to identify nurses who would benefit from a training to improve the consistency of their application of the protocol, as well as to identify specific emergency scenarios for which the assignment of priority codes was most problematic. |
| format | Article |
| id | doaj-art-6117b83d7b474076a381fcd145615bb1 |
| institution | Kabale University |
| issn | 1664-1078 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj-art-6117b83d7b474076a381fcd145615bb12025-02-04T06:31:53ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-02-011610.3389/fpsyg.2025.14778441477844A new Bayesian method for the estimation of emergency nurses’ thresholds and agreement in the context of telephone triageMichele Vicovaro0Giuseppe Mignemi1Massimo Nucci2Luigi Bolognani3Sara Iannattone4Giovanni Bruno5Giovanni Bruno6Andrea Spoto7Department of General Psychology, University of Padova, Padova, ItalyDepartment of General Psychology, University of Padova, Padova, ItalyDepartment of General Psychology, University of Padova, Padova, ItalyEmergency Medical Services (SUEM 118), AULSS 3 Serenissma, Venice, ItalyDepartment of General Psychology, University of Padova, Padova, ItalyDepartment of General Psychology, University of Padova, Padova, ItalySCUP, University of Padova, Padova, ItalyDepartment of General Psychology, University of Padova, Padova, ItalyIntroductionTriage is the process aimed at ensuring that patients receive a level and quality of care matching the urgency of their conditions. The present study focuses on telephone triage. We discuss the application of a new decision-making model to the task of telephone triage.MethodsThe model allows to estimate the nurse’s Belonging Threshold (BT), which quantifies the minimum level of severity of an emergency scenario that leads the nurse to activate a rescue vehicle with emergency devices. The BT can be used as an index of the possible tendency of the nurse to systematically over-or under-triage. The model also provides accurate estimations of the level of agreement between different nurses, and between the nurses and reference experts, net of the noise due to the possible differences between the nurses’ BTs.Results and discussionThe model and the related experimental procedure were applied to a sample of 21 emergency nurses at the SUEM 118 Operations Center in Venice. We discuss how the model can be useful to identify nurses who would benefit from a training to improve the consistency of their application of the protocol, as well as to identify specific emergency scenarios for which the assignment of priority codes was most problematic.https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1477844/fulltelephone triageemergencynursingBayesian estimationinter-rater agreement |
| spellingShingle | Michele Vicovaro Giuseppe Mignemi Massimo Nucci Luigi Bolognani Sara Iannattone Giovanni Bruno Giovanni Bruno Andrea Spoto A new Bayesian method for the estimation of emergency nurses’ thresholds and agreement in the context of telephone triage Frontiers in Psychology telephone triage emergency nursing Bayesian estimation inter-rater agreement |
| title | A new Bayesian method for the estimation of emergency nurses’ thresholds and agreement in the context of telephone triage |
| title_full | A new Bayesian method for the estimation of emergency nurses’ thresholds and agreement in the context of telephone triage |
| title_fullStr | A new Bayesian method for the estimation of emergency nurses’ thresholds and agreement in the context of telephone triage |
| title_full_unstemmed | A new Bayesian method for the estimation of emergency nurses’ thresholds and agreement in the context of telephone triage |
| title_short | A new Bayesian method for the estimation of emergency nurses’ thresholds and agreement in the context of telephone triage |
| title_sort | new bayesian method for the estimation of emergency nurses thresholds and agreement in the context of telephone triage |
| topic | telephone triage emergency nursing Bayesian estimation inter-rater agreement |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1477844/full |
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