Interrater Reliability in the Triage of Children With Mental and Behavioral Health Symptoms Using Two Triage Systems
Among triage-trained nurses using written case scenarios, interrater reliability was high for the Australian mental health triage scale and moderate for the Emergency Severity Index, which may inform consistency of care provision. The wider distribution of acuity levels generated by the Australian mental health triage scale may enable greater differentiation of illness severity. Prospective studies are needed to assess the reliability and validity of the Australian mental health triage scale among pediatric patients in the emergency department.
Authors
- Jacqueline Grupp‐Phelan (ORCID: https://orcid.org/0000-0002-8609-1171)
- Kimberly Denicolo
- Kate Farley
- Ashley A. Foster (ORCID: https://orcid.org/0000-0002-3059-6218)
- Aron Janssen (ORCID: https://orcid.org/0000-0001-6919-7225)
- Elizabeth R. Alpern (ORCID: https://orcid.org/0000-0001-7887-3563)
- Alba Pergjika (ORCID: https://orcid.org/0000-0002-5095-246X)
- Jennifer A. Hoffmann (ORCID: https://orcid.org/0000-0003-1653-363X)
- Marshall Brown
- David A. Cory
- Patricia Cobb
Publication Details
- Journal
- Journal of Emergency Nursing
- Published
- 2026-01-01
- DOI
- https://doi.org/10.1016/j.jen.2025.11.019
- Primary Topic
- Emergency and Acute Care Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- U.S. Department of Health and Human Services
- National Institutes of Health
- Health Resources and Services Administration