Validation of the responding to urgency of need in palliative care (RUN-PC) triage tool.

Hospice and Palliative Care Nursing Humans Palliative Care Reproducibility of Results Triage Victoria
Palliative care decision support techniques hospices reproducibility of results resource allocation triage validation studies

Journal

Palliative medicine
ISSN: 1477-030X
Titre abrégé: Palliat Med
Pays: England
ID NLM: 8704926

Informations de publication

Date de publication:
04 2021
Historique:
pubmed: 23 1 2021
medline: 21 5 2021
entrez: 22 1 2021
Statut: ppublish

Résumé

The Responding to Urgency of Need in Palliative Care (RUN-PC) Triage Tool is a novel, evidence-based tool by which specialist palliative care services can manage waiting lists and workflow by prioritising access to care for those patients with the most pressing needs in an equitable, efficient and transparent manner. This study aimed to establish the intra- and inter-rater reliability, and convergent validity of the RUN-PC Triage Tool and generate recommended response times. An online survey of palliative care intake officers applying the RUN-PC Triage Tool to a series of 49 real clinical vignettes was assessed against a reference standard: a postal survey of expert palliative care clinicians ranking the same vignettes in order of urgency. Intake officers ( The RUN-PC Triage Tool has good intra- and inter-rater reliability in inpatient, hospital consultation and community palliative care settings (Intraclass Correlation Coefficients ranged from 0.61 to 0.74), and moderate to good correlation to expert opinion used as a reference standard (Kendall's Tau rank correlation coefficients ranged from 0.68 to 0.83). The RUN-PC Triage Tool appears to be a reliable and valid tool for the prioritisation of patients referred to specialist inpatient, hospital consultation and community palliative care services.

Sections du résumé

BACKGROUND
The Responding to Urgency of Need in Palliative Care (RUN-PC) Triage Tool is a novel, evidence-based tool by which specialist palliative care services can manage waiting lists and workflow by prioritising access to care for those patients with the most pressing needs in an equitable, efficient and transparent manner.
AIM
This study aimed to establish the intra- and inter-rater reliability, and convergent validity of the RUN-PC Triage Tool and generate recommended response times.
DESIGN
An online survey of palliative care intake officers applying the RUN-PC Triage Tool to a series of 49 real clinical vignettes was assessed against a reference standard: a postal survey of expert palliative care clinicians ranking the same vignettes in order of urgency.
SETTING/PARTICIPANTS
Intake officers (
RESULTS
The RUN-PC Triage Tool has good intra- and inter-rater reliability in inpatient, hospital consultation and community palliative care settings (Intraclass Correlation Coefficients ranged from 0.61 to 0.74), and moderate to good correlation to expert opinion used as a reference standard (Kendall's Tau rank correlation coefficients ranged from 0.68 to 0.83).
CONCLUSION
The RUN-PC Triage Tool appears to be a reliable and valid tool for the prioritisation of patients referred to specialist inpatient, hospital consultation and community palliative care services.

Identifiants

DOI: 10.1177/0269216320986730 PMID: 33478366
pubmed: 33478366
doi: 10.1177/0269216320986730
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

759-767

Auteurs

Bethany Russell (B)

Palliative Nexus Research Group, University of Melbourne and St Vincent's Hospital Melbourne, VIC, Australia.
Department of Palliative Care, St Vincent's Hospital Melbourne, VIC, Australia.
ORCID: 0000-0002-3509-0355

Jennifer Philip (J)

Palliative Nexus Research Group, University of Melbourne and St Vincent's Hospital Melbourne, VIC, Australia.
Department of Palliative Care, St Vincent's Hospital Melbourne, VIC, Australia.
Victorian Comprehensive Cancer Centre, Melbourne, VIC, Australia.
Department of Palliative Care, The Royal Melbourne Hospital, Melbourne, VIC, Australia.

Olivia Wawryk (O)

Palliative Nexus Research Group, University of Melbourne and St Vincent's Hospital Melbourne, VIC, Australia.
Department of Public Health, La Trobe University, Melbourne, VIC, Australia.

Sara Vogrin (S)

Department of Medicine, St Vincent's Hospital Melbourne and University of Melbourne, Melbourne, VIC, Australia.

Jodie Burchell (J)

Department of Medicine, St Vincent's Hospital Melbourne and University of Melbourne, Melbourne, VIC, Australia.

Anna Collins (A)

Palliative Nexus Research Group, University of Melbourne and St Vincent's Hospital Melbourne, VIC, Australia.
ORCID: 0000-0003-2139-0100

Brian Le (B)

Victorian Comprehensive Cancer Centre, Melbourne, VIC, Australia.
Department of Palliative Care, The Royal Melbourne Hospital, Melbourne, VIC, Australia.
ORCID: 0000-0002-0830-4864

Caroline Brand (C)

Melbourne EpiCentre, University of Melbourne and Melbourne Health, Melbourne, VIC, Australia.
Department of Preventive Medicine, Monash University, Melbourne, VIC, Australia.

Peter Hudson (P)

Centre for Palliative Care, St Vincent's Hospital Melbourne, Melbourne, VIC, Australia.
End-of-life Care Research Group, Vrije University, Brussels, Belgium.
School of Health Sciences, University of Melbourne, Melbourne, VIC, Australia.
ORCID: 0000-0001-5891-8197

Vijaya Sundararajan (V)

Department of Public Health, La Trobe University, Melbourne, VIC, Australia.
Department of Medicine, St Vincent's Hospital Melbourne and University of Melbourne, Melbourne, VIC, Australia.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female

Evaluation of Low-Value Services Across Major Medicare Advantage Insurers and Traditional Medicare.

Ciara Duggan, Adam L Beckman, Ishani Ganguli et al.
1.00
Humans United States Aged Cross-Sectional Studies Medicare Part C

Effectiveness of Virtual Yoga for Chronic Low Back Pain: A Randomized Clinical Trial.

Hallie Tankha, Devyn Gaskins, Amanda Shallcross et al.
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH

questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins infirmiers › Soins infirmiers en centre de soins palliatifs › Validation of the responding to urgency of...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Validation of the responding to urgency of...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins palliatifs › Validation of the responding to urgency of...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Méthodologie en recherche épidémiologique › Reproductibilité des résultats › Validation of the responding to urgency of...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services des urgences médicales › Triage › Validation of the responding to urgency of...
questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Australie › Victoria › Validation of the responding to urgency of...