Be careful with triage in emergency departments: interobserver agreement on 1,578 patients in France View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2011-12

AUTHORS

Anne-Claire Durand, Stéphanie Gentile, Patrick Gerbeaux, Marc Alazia, Pierre Kiegel, Stephane Luigi, Eric Lindenmeyer, Philippe Olivier, Marie-Annick Hidoux, Roland Sambuc

ABSTRACT

BACKGROUND: For several decades, emergency departments (EDs) utilization has increased, inducing ED overcrowding in many countries. This phenomenon is related partly to an excessive number of nonurgent patients. To resolve ED overcrowding and to decrease nonurgent visits, the most common solution has been to triage the ED patients to identify potentially nonurgent patients, i.e. which could have been dealt with by general practitioner. The objective of this study was to measure agreement among ED health professionals on the urgency of an ED visit, and to determine if the level of agreement is consistent among different sub-groups based on following explicit criteria: age, medical status, type of referral to the ED, investigations performed in the ED, and the discharge from the ED. METHODS: We conducted a multicentric cross-sectional study to compare agreement between nurses and physicians on categorization of ED visits into urgent or nonurgent. Subgroups stratified by criteria characterizing the ED visit were analyzed in relation to the outcome of the visit. RESULTS: Of 1,928 ED patients, 350 were excluded because data were lacking. The overall nurse-physician agreement on categorization was moderate (kappa = 0.43). The levels of agreement within all subgroups were variable and low. The highest agreement concerned three subgroups of complaints: cranial injury (kappa = 0.61), gynaecological (kappa = 0.66) and toxicology complaints (kappa = 1.00). The lowest agreement concerned two subgroups: urinary-nephrology (kappa = 0.09) and hospitalization (kappa = 0.20). When categorization of ED visits into urgent or nonurgent cases was compared to hospitalization, ED physicians had higher sensitivity and specificity than nurses (respectively 94.9% versus 89.5%, and 43.1% versus 30.9%). CONCLUSIONS: The lack of physician-nurse agreement and the inability to predict hospitalization have important implications for patient safety. When urgency screening is used to determine treatment priority, disagreement might not matter because all patients in the ED are seen and treated. But using assessments as the basis for refusal of care to potential nonurgent patients raises legal, ethical, and safety issues. Managed care organizations should be cautious when applying such criteria to restrict access to EDs. More... »

PAGES

19

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1471-227x-11-19

DOI

http://dx.doi.org/10.1186/1471-227x-11-19

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1012911673

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22040017


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1117", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Public Health and Health Services", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Adolescent", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Adult", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Aged", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Cross-Sectional Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Emergencies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Emergency Nursing", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Emergency Service, Hospital", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Female", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "France", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Hospitalization", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Hospitals, Rural", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Hospitals, Teaching", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Hospitals, Urban", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Male", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Medical Staff, Hospital", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Middle Aged", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Observer Variation", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "ROC Curve", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Triage", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Young Adult", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "name": [
            "Laboratoire de Sant\u00e9 Publique, Facult\u00e9 de M\u00e9decine, Equipe de recherche EA 3279 \"Evaluation hospitali\u00e8re-Mesure de la sant\u00e9 per\u00e7ue\", Marseille, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Durand", 
        "givenName": "Anne-Claire", 
        "id": "sg:person.01176304753.71", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01176304753.71"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "name": [
            "Laboratoire de Sant\u00e9 Publique, Facult\u00e9 de M\u00e9decine, Equipe de recherche EA 3279 \"Evaluation hospitali\u00e8re-Mesure de la sant\u00e9 per\u00e7ue\", Marseille, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Gentile", 
        "givenName": "St\u00e9phanie", 
        "id": "sg:person.01122522174.31", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01122522174.31"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "H\u00f4pital de la Conception", 
          "id": "https://www.grid.ac/institutes/grid.411535.7", 
          "name": [
            "Service d'Accueil des Urgences, H\u00f4pital de La Conception, Marseille, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Gerbeaux", 
        "givenName": "Patrick", 
        "id": "sg:person.01036764365.78", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01036764365.78"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "H\u00f4pital Sainte-Marguerite", 
          "id": "https://www.grid.ac/institutes/grid.414438.e", 
          "name": [
            "Service d'Accueil des Urgences, H\u00f4pital Sainte Marguerite, Marseille, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Alazia", 
        "givenName": "Marc", 
        "id": "sg:person.0107671527.37", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0107671527.37"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "name": [
            "Service d'Accueil des Urgences, H\u00f4pital du Pays d'Aix, Aix en Provence, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Kiegel", 
        "givenName": "Pierre", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "name": [
            "Service d'Accueil des Urgences, Centre Hospitalier G\u00e9n\u00e9ral, Martigues, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Luigi", 
        "givenName": "Stephane", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "H\u00f4pital Saint Joseph", 
          "id": "https://www.grid.ac/institutes/grid.414364.0", 
          "name": [
            "Service d'Accueil des Urgences, H\u00f4pital Saint Joseph, Marseille, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Lindenmeyer", 
        "givenName": "Eric", 
        "id": "sg:person.0775711412.03", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0775711412.03"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "name": [
            "Service d'Accueil des Urgences, H\u00f4pital Henri Duffaut, Avignon, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Olivier", 
        "givenName": "Philippe", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "name": [
            "Service d'Accueil des Urgences, Centre Hospitalier G\u00e9n\u00e9ral, Gap, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Hidoux", 
        "givenName": "Marie-Annick", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "name": [
            "Laboratoire de Sant\u00e9 Publique, Facult\u00e9 de M\u00e9decine, Equipe de recherche EA 3279 \"Evaluation hospitali\u00e8re-Mesure de la sant\u00e9 per\u00e7ue\", Marseille, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Sambuc", 
        "givenName": "Roland", 
        "id": "sg:person.01312533353.46", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01312533353.46"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "sg:pub.10.1007/bf02294215", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1001887916", 
          "https://doi.org/10.1007/bf02294215"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/bf02294215", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1001887916", 
          "https://doi.org/10.1007/bf02294215"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1553-2712.1997.tb03695.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1003196148"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0196-0644(96)70240-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1004471375"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/1472-6963-10-66", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1006282354", 
          "https://doi.org/10.1186/1472-6963-10-66"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.annemergmed.2006.06.027", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1006831803"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0196-0644(94)70042-7", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007035226"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0196-0644(99)70223-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007601347"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0196-0644(96)70108-7", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010462985"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/fampra/15.1.33", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1012641601"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0735-6757(00)90115-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1013225100"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.ajem.2010.01.003", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1015627806"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1553-2712.1996.tb03429.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1017699456"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0735-6757(97)90083-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1019966583"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1553-2712.2001.tb01111.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1020171473"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.annemergmed.2008.03.014", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1023523054"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0196-0644(05)82059-1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1025634785"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/0735-6757(92)90207-e", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1034257545"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/mej.0b013e328304ae57", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036084696"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/mej.0b013e328304ae57", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036084696"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1046/j.1365-2648.1993.18071141.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1038090102"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/0277-9536(92)90231-e", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1038533363"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/jama.1994.03510480033030", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1039623578"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1067/mem.2001.113464", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1048397358"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s10728-008-0081-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1049563441", 
          "https://doi.org/10.1007/s10728-008-0081-0"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s10728-008-0081-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1049563441", 
          "https://doi.org/10.1007/s10728-008-0081-0"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0007-9960(04)94482-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1049599992"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1742-6723.2005.00779.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051668513"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1742-6723.2005.00779.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051668513"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/fampra/15.1.23", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1052005039"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1197/j.aem.2004.08.032", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1053326561"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1197/j.aem.2004.08.032", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1053326561"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0196-0644(00)70105-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1053657724"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/107755879505200402", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1054051028"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/107755879505200402", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1054051028"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.2307/2529310", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1069974986"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1074723754", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/ptj/85.3.257", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1077013196"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1077920187", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1148/radiology.143.1.7063747", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1082130998"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1082664523", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1082757189", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00007611-199712000-00009", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1083186474"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00007611-199712000-00009", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1083186474"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00007611-199712000-00009", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1083186474"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00007611-199712000-00009", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1083186474"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.3917/meta.penef.2000.01", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1099299914"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.3917/meta.penef.2000.01", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1099299914"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2011-12", 
    "datePublishedReg": "2011-12-01", 
    "description": "BACKGROUND: For several decades, emergency departments (EDs) utilization has increased, inducing ED overcrowding in many countries. This phenomenon is related partly to an excessive number of nonurgent patients. To resolve ED overcrowding and to decrease nonurgent visits, the most common solution has been to triage the ED patients to identify potentially nonurgent patients, i.e. which could have been dealt with by general practitioner. The objective of this study was to measure agreement among ED health professionals on the urgency of an ED visit, and to determine if the level of agreement is consistent among different sub-groups based on following explicit criteria: age, medical status, type of referral to the ED, investigations performed in the ED, and the discharge from the ED.\nMETHODS: We conducted a multicentric cross-sectional study to compare agreement between nurses and physicians on categorization of ED visits into urgent or nonurgent. Subgroups stratified by criteria characterizing the ED visit were analyzed in relation to the outcome of the visit.\nRESULTS: Of 1,928 ED patients, 350 were excluded because data were lacking. The overall nurse-physician agreement on categorization was moderate (kappa = 0.43). The levels of agreement within all subgroups were variable and low. The highest agreement concerned three subgroups of complaints: cranial injury (kappa = 0.61), gynaecological (kappa = 0.66) and toxicology complaints (kappa = 1.00). The lowest agreement concerned two subgroups: urinary-nephrology (kappa = 0.09) and hospitalization (kappa = 0.20). When categorization of ED visits into urgent or nonurgent cases was compared to hospitalization, ED physicians had higher sensitivity and specificity than nurses (respectively 94.9% versus 89.5%, and 43.1% versus 30.9%).\nCONCLUSIONS: The lack of physician-nurse agreement and the inability to predict hospitalization have important implications for patient safety. When urgency screening is used to determine treatment priority, disagreement might not matter because all patients in the ED are seen and treated. But using assessments as the basis for refusal of care to potential nonurgent patients raises legal, ethical, and safety issues. Managed care organizations should be cautious when applying such criteria to restrict access to EDs.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1186/1471-227x-11-19", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": true, 
    "isPartOf": [
      {
        "id": "sg:journal.1024938", 
        "issn": [
          "1471-227X"
        ], 
        "name": "BMC Emergency Medicine", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "1", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "11"
      }
    ], 
    "name": "Be careful with triage in emergency departments: interobserver agreement on 1,578 patients in France", 
    "pagination": "19", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "3d82f508d39bd2fe2156854c5fa8f5d2921ed06815b24cb57c02f2d87c6cdb2b"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "22040017"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "100968543"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1186/1471-227x-11-19"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1012911673"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1186/1471-227x-11-19", 
      "https://app.dimensions.ai/details/publication/pub.1012911673"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-10T14:03", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000001_0000000264/records_8660_00000487.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "http://link.springer.com/10.1186/1471-227X-11-19"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/1471-227x-11-19'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/1471-227x-11-19'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/1471-227x-11-19'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/1471-227x-11-19'


 

This table displays all metadata directly associated to this object as RDF triples.

344 TRIPLES      21 PREDICATES      88 URIs      42 LITERALS      30 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1186/1471-227x-11-19 schema:about N0e76d61fcf5a4743b02ef88b768dd43a
2 N1a99d366ab0e45e684ccac0b87815c8e
3 N2dad88f85d494d1da58e73735792fa77
4 N4098bc4abd994ce29635a974e31c5ba0
5 N40a07d9f4e644f8d977e38156a37a617
6 N57bfcc8631f847eb87129912ad8684bc
7 N5b68fb0c9e314172b7817505d81ba66e
8 N5b907c752f9e4954b0f32f6a13352d76
9 N673aae4bbec949f38754c6915f49b51e
10 N970e2b377f674aea98559b71ecb8bb62
11 Na2d118a47db94f63a6bb6a516bf3e42c
12 Na5d46170c630407e8f94a0895be1f203
13 Nb7fa396f51e64111a5c15f3f96fbbd3e
14 Ncc451060e5794190b70457dddba1bdb7
15 Nd2875ebcd47744699f8185b44e31b42e
16 Nd56cf10659d147a7bb13bb4b718c3ed5
17 Ne85fcdf2ba444e88bbe8329995b3a9ff
18 Ne898a61239334ca4897ee9bd11d516d5
19 Ne8aa50c4e98f49d1a441fe8bbf5520fc
20 Nf016fafb824b4dae9e04727beca8cb0f
21 Nf2c21795d3a843b9accdc38f9cbef1ce
22 anzsrc-for:11
23 anzsrc-for:1117
24 schema:author Nc881b7dc9c7245278e802e12192fac04
25 schema:citation sg:pub.10.1007/bf02294215
26 sg:pub.10.1007/s10728-008-0081-0
27 sg:pub.10.1186/1472-6963-10-66
28 https://app.dimensions.ai/details/publication/pub.1074723754
29 https://app.dimensions.ai/details/publication/pub.1077920187
30 https://app.dimensions.ai/details/publication/pub.1082664523
31 https://app.dimensions.ai/details/publication/pub.1082757189
32 https://doi.org/10.1001/jama.1994.03510480033030
33 https://doi.org/10.1016/0277-9536(92)90231-e
34 https://doi.org/10.1016/0735-6757(92)90207-e
35 https://doi.org/10.1016/j.ajem.2010.01.003
36 https://doi.org/10.1016/j.annemergmed.2006.06.027
37 https://doi.org/10.1016/j.annemergmed.2008.03.014
38 https://doi.org/10.1016/s0007-9960(04)94482-3
39 https://doi.org/10.1016/s0196-0644(00)70105-3
40 https://doi.org/10.1016/s0196-0644(05)82059-1
41 https://doi.org/10.1016/s0196-0644(94)70042-7
42 https://doi.org/10.1016/s0196-0644(96)70108-7
43 https://doi.org/10.1016/s0196-0644(96)70240-8
44 https://doi.org/10.1016/s0196-0644(99)70223-4
45 https://doi.org/10.1016/s0735-6757(00)90115-3
46 https://doi.org/10.1016/s0735-6757(97)90083-8
47 https://doi.org/10.1046/j.1365-2648.1993.18071141.x
48 https://doi.org/10.1067/mem.2001.113464
49 https://doi.org/10.1093/fampra/15.1.23
50 https://doi.org/10.1093/fampra/15.1.33
51 https://doi.org/10.1093/ptj/85.3.257
52 https://doi.org/10.1097/00007611-199712000-00009
53 https://doi.org/10.1097/mej.0b013e328304ae57
54 https://doi.org/10.1111/j.1553-2712.1996.tb03429.x
55 https://doi.org/10.1111/j.1553-2712.1997.tb03695.x
56 https://doi.org/10.1111/j.1553-2712.2001.tb01111.x
57 https://doi.org/10.1111/j.1742-6723.2005.00779.x
58 https://doi.org/10.1148/radiology.143.1.7063747
59 https://doi.org/10.1177/107755879505200402
60 https://doi.org/10.1197/j.aem.2004.08.032
61 https://doi.org/10.2307/2529310
62 https://doi.org/10.3917/meta.penef.2000.01
63 schema:datePublished 2011-12
64 schema:datePublishedReg 2011-12-01
65 schema:description BACKGROUND: For several decades, emergency departments (EDs) utilization has increased, inducing ED overcrowding in many countries. This phenomenon is related partly to an excessive number of nonurgent patients. To resolve ED overcrowding and to decrease nonurgent visits, the most common solution has been to triage the ED patients to identify potentially nonurgent patients, i.e. which could have been dealt with by general practitioner. The objective of this study was to measure agreement among ED health professionals on the urgency of an ED visit, and to determine if the level of agreement is consistent among different sub-groups based on following explicit criteria: age, medical status, type of referral to the ED, investigations performed in the ED, and the discharge from the ED. METHODS: We conducted a multicentric cross-sectional study to compare agreement between nurses and physicians on categorization of ED visits into urgent or nonurgent. Subgroups stratified by criteria characterizing the ED visit were analyzed in relation to the outcome of the visit. RESULTS: Of 1,928 ED patients, 350 were excluded because data were lacking. The overall nurse-physician agreement on categorization was moderate (kappa = 0.43). The levels of agreement within all subgroups were variable and low. The highest agreement concerned three subgroups of complaints: cranial injury (kappa = 0.61), gynaecological (kappa = 0.66) and toxicology complaints (kappa = 1.00). The lowest agreement concerned two subgroups: urinary-nephrology (kappa = 0.09) and hospitalization (kappa = 0.20). When categorization of ED visits into urgent or nonurgent cases was compared to hospitalization, ED physicians had higher sensitivity and specificity than nurses (respectively 94.9% versus 89.5%, and 43.1% versus 30.9%). CONCLUSIONS: The lack of physician-nurse agreement and the inability to predict hospitalization have important implications for patient safety. When urgency screening is used to determine treatment priority, disagreement might not matter because all patients in the ED are seen and treated. But using assessments as the basis for refusal of care to potential nonurgent patients raises legal, ethical, and safety issues. Managed care organizations should be cautious when applying such criteria to restrict access to EDs.
66 schema:genre research_article
67 schema:inLanguage en
68 schema:isAccessibleForFree true
69 schema:isPartOf N70b2e7622a9e4d9fb79a91430c6a5360
70 Naa35a5a8e59049498b2681d90a303eea
71 sg:journal.1024938
72 schema:name Be careful with triage in emergency departments: interobserver agreement on 1,578 patients in France
73 schema:pagination 19
74 schema:productId N12eb7a00b6844b2d8fffc09a4ac60903
75 N32d13055900b40c99cd93be9a687fa23
76 N47fb68a32d69460bb053d3e665e7b7e8
77 N5afc889909ae4a26a7ebfb1d4d387921
78 Nc16403dad26847a6b6da192841e08b1e
79 schema:sameAs https://app.dimensions.ai/details/publication/pub.1012911673
80 https://doi.org/10.1186/1471-227x-11-19
81 schema:sdDatePublished 2019-04-10T14:03
82 schema:sdLicense https://scigraph.springernature.com/explorer/license/
83 schema:sdPublisher N718248c90cf7427480afdcf3991f7c3e
84 schema:url http://link.springer.com/10.1186/1471-227X-11-19
85 sgo:license sg:explorer/license/
86 sgo:sdDataset articles
87 rdf:type schema:ScholarlyArticle
88 N06f64c4872b14aeb8fdce20fe744bf84 rdf:first N3b1def7098da4f6aa0a50c8fd98f7e7f
89 rdf:rest N7ac45f0996ea43cc9982a32e3ebca1e3
90 N08a5d40783ab45408eed4c1132e0ddbc rdf:first N510820a926d14cb4873539ea25d6f804
91 rdf:rest N7b4a8e54e5be4e68a8323fc2e7e368f3
92 N0a20db6160c8468687331547bf62ccde rdf:first sg:person.0107671527.37
93 rdf:rest N06f64c4872b14aeb8fdce20fe744bf84
94 N0e76d61fcf5a4743b02ef88b768dd43a schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
95 schema:name Adult
96 rdf:type schema:DefinedTerm
97 N0efbb637fc6b4eeb8af08422f4f8f041 schema:affiliation N6afea724dfd44a2b8a44c9e8d1fe020f
98 schema:familyName Hidoux
99 schema:givenName Marie-Annick
100 rdf:type schema:Person
101 N12eb7a00b6844b2d8fffc09a4ac60903 schema:name nlm_unique_id
102 schema:value 100968543
103 rdf:type schema:PropertyValue
104 N18db5ef6a22a408aa16d6b1640d77fe7 schema:affiliation N28b9107ff9a44dedb812d8f4fc7e7d5b
105 schema:familyName Luigi
106 schema:givenName Stephane
107 rdf:type schema:Person
108 N1a99d366ab0e45e684ccac0b87815c8e schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
109 schema:name Triage
110 rdf:type schema:DefinedTerm
111 N21a75a96d7364ae1b11a55904e59c3f9 rdf:first sg:person.01122522174.31
112 rdf:rest N36b548dfa2a342318614cfc9f3c95e71
113 N28b9107ff9a44dedb812d8f4fc7e7d5b schema:name Service d'Accueil des Urgences, Centre Hospitalier Général, Martigues, France
114 rdf:type schema:Organization
115 N2dad88f85d494d1da58e73735792fa77 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
116 schema:name Young Adult
117 rdf:type schema:DefinedTerm
118 N32d13055900b40c99cd93be9a687fa23 schema:name readcube_id
119 schema:value 3d82f508d39bd2fe2156854c5fa8f5d2921ed06815b24cb57c02f2d87c6cdb2b
120 rdf:type schema:PropertyValue
121 N36b548dfa2a342318614cfc9f3c95e71 rdf:first sg:person.01036764365.78
122 rdf:rest N0a20db6160c8468687331547bf62ccde
123 N3b1def7098da4f6aa0a50c8fd98f7e7f schema:affiliation N9a198c700b034865ab428f61a912e594
124 schema:familyName Kiegel
125 schema:givenName Pierre
126 rdf:type schema:Person
127 N4098bc4abd994ce29635a974e31c5ba0 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
128 schema:name Female
129 rdf:type schema:DefinedTerm
130 N40a07d9f4e644f8d977e38156a37a617 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
131 schema:name Cross-Sectional Studies
132 rdf:type schema:DefinedTerm
133 N47fb68a32d69460bb053d3e665e7b7e8 schema:name pubmed_id
134 schema:value 22040017
135 rdf:type schema:PropertyValue
136 N510820a926d14cb4873539ea25d6f804 schema:affiliation Nc4f8bdad92ff49bc8f7c67aa14dc6969
137 schema:familyName Olivier
138 schema:givenName Philippe
139 rdf:type schema:Person
140 N57bfcc8631f847eb87129912ad8684bc schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
141 schema:name ROC Curve
142 rdf:type schema:DefinedTerm
143 N5afc889909ae4a26a7ebfb1d4d387921 schema:name doi
144 schema:value 10.1186/1471-227x-11-19
145 rdf:type schema:PropertyValue
146 N5b68fb0c9e314172b7817505d81ba66e schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
147 schema:name Middle Aged
148 rdf:type schema:DefinedTerm
149 N5b907c752f9e4954b0f32f6a13352d76 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
150 schema:name Emergencies
151 rdf:type schema:DefinedTerm
152 N673aae4bbec949f38754c6915f49b51e schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
153 schema:name Male
154 rdf:type schema:DefinedTerm
155 N6afea724dfd44a2b8a44c9e8d1fe020f schema:name Service d'Accueil des Urgences, Centre Hospitalier Général, Gap, France
156 rdf:type schema:Organization
157 N70b2e7622a9e4d9fb79a91430c6a5360 schema:volumeNumber 11
158 rdf:type schema:PublicationVolume
159 N718248c90cf7427480afdcf3991f7c3e schema:name Springer Nature - SN SciGraph project
160 rdf:type schema:Organization
161 N7ac45f0996ea43cc9982a32e3ebca1e3 rdf:first N18db5ef6a22a408aa16d6b1640d77fe7
162 rdf:rest Na861f89eb677434cac75c28e8bb744c6
163 N7b4a8e54e5be4e68a8323fc2e7e368f3 rdf:first N0efbb637fc6b4eeb8af08422f4f8f041
164 rdf:rest Ndf5381a950b14a668f869ceb977273bf
165 N7b514a6cc47a4b5fb79b80163753691a schema:name Laboratoire de Santé Publique, Faculté de Médecine, Equipe de recherche EA 3279 "Evaluation hospitalière-Mesure de la santé perçue", Marseille, France
166 rdf:type schema:Organization
167 N8f233c05dc5243fea5d784907be4383e schema:name Laboratoire de Santé Publique, Faculté de Médecine, Equipe de recherche EA 3279 "Evaluation hospitalière-Mesure de la santé perçue", Marseille, France
168 rdf:type schema:Organization
169 N970e2b377f674aea98559b71ecb8bb62 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
170 schema:name Hospitals, Teaching
171 rdf:type schema:DefinedTerm
172 N9a198c700b034865ab428f61a912e594 schema:name Service d'Accueil des Urgences, Hôpital du Pays d'Aix, Aix en Provence, France
173 rdf:type schema:Organization
174 Na2d118a47db94f63a6bb6a516bf3e42c schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
175 schema:name Medical Staff, Hospital
176 rdf:type schema:DefinedTerm
177 Na5d46170c630407e8f94a0895be1f203 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
178 schema:name Emergency Nursing
179 rdf:type schema:DefinedTerm
180 Na861f89eb677434cac75c28e8bb744c6 rdf:first sg:person.0775711412.03
181 rdf:rest N08a5d40783ab45408eed4c1132e0ddbc
182 Naa35a5a8e59049498b2681d90a303eea schema:issueNumber 1
183 rdf:type schema:PublicationIssue
184 Nb7fa396f51e64111a5c15f3f96fbbd3e schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
185 schema:name Hospitalization
186 rdf:type schema:DefinedTerm
187 Nc16403dad26847a6b6da192841e08b1e schema:name dimensions_id
188 schema:value pub.1012911673
189 rdf:type schema:PropertyValue
190 Nc4f8bdad92ff49bc8f7c67aa14dc6969 schema:name Service d'Accueil des Urgences, Hôpital Henri Duffaut, Avignon, France
191 rdf:type schema:Organization
192 Nc866e01743564369973eb043221fff01 schema:name Laboratoire de Santé Publique, Faculté de Médecine, Equipe de recherche EA 3279 "Evaluation hospitalière-Mesure de la santé perçue", Marseille, France
193 rdf:type schema:Organization
194 Nc881b7dc9c7245278e802e12192fac04 rdf:first sg:person.01176304753.71
195 rdf:rest N21a75a96d7364ae1b11a55904e59c3f9
196 Ncc451060e5794190b70457dddba1bdb7 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
197 schema:name Adolescent
198 rdf:type schema:DefinedTerm
199 Nd2875ebcd47744699f8185b44e31b42e schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
200 schema:name Hospitals, Rural
201 rdf:type schema:DefinedTerm
202 Nd56cf10659d147a7bb13bb4b718c3ed5 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
203 schema:name Aged
204 rdf:type schema:DefinedTerm
205 Ndf5381a950b14a668f869ceb977273bf rdf:first sg:person.01312533353.46
206 rdf:rest rdf:nil
207 Ne85fcdf2ba444e88bbe8329995b3a9ff schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
208 schema:name Hospitals, Urban
209 rdf:type schema:DefinedTerm
210 Ne898a61239334ca4897ee9bd11d516d5 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
211 schema:name Emergency Service, Hospital
212 rdf:type schema:DefinedTerm
213 Ne8aa50c4e98f49d1a441fe8bbf5520fc schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
214 schema:name Humans
215 rdf:type schema:DefinedTerm
216 Nf016fafb824b4dae9e04727beca8cb0f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
217 schema:name Observer Variation
218 rdf:type schema:DefinedTerm
219 Nf2c21795d3a843b9accdc38f9cbef1ce schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
220 schema:name France
221 rdf:type schema:DefinedTerm
222 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
223 schema:name Medical and Health Sciences
224 rdf:type schema:DefinedTerm
225 anzsrc-for:1117 schema:inDefinedTermSet anzsrc-for:
226 schema:name Public Health and Health Services
227 rdf:type schema:DefinedTerm
228 sg:journal.1024938 schema:issn 1471-227X
229 schema:name BMC Emergency Medicine
230 rdf:type schema:Periodical
231 sg:person.01036764365.78 schema:affiliation https://www.grid.ac/institutes/grid.411535.7
232 schema:familyName Gerbeaux
233 schema:givenName Patrick
234 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01036764365.78
235 rdf:type schema:Person
236 sg:person.0107671527.37 schema:affiliation https://www.grid.ac/institutes/grid.414438.e
237 schema:familyName Alazia
238 schema:givenName Marc
239 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0107671527.37
240 rdf:type schema:Person
241 sg:person.01122522174.31 schema:affiliation Nc866e01743564369973eb043221fff01
242 schema:familyName Gentile
243 schema:givenName Stéphanie
244 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01122522174.31
245 rdf:type schema:Person
246 sg:person.01176304753.71 schema:affiliation N7b514a6cc47a4b5fb79b80163753691a
247 schema:familyName Durand
248 schema:givenName Anne-Claire
249 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01176304753.71
250 rdf:type schema:Person
251 sg:person.01312533353.46 schema:affiliation N8f233c05dc5243fea5d784907be4383e
252 schema:familyName Sambuc
253 schema:givenName Roland
254 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01312533353.46
255 rdf:type schema:Person
256 sg:person.0775711412.03 schema:affiliation https://www.grid.ac/institutes/grid.414364.0
257 schema:familyName Lindenmeyer
258 schema:givenName Eric
259 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0775711412.03
260 rdf:type schema:Person
261 sg:pub.10.1007/bf02294215 schema:sameAs https://app.dimensions.ai/details/publication/pub.1001887916
262 https://doi.org/10.1007/bf02294215
263 rdf:type schema:CreativeWork
264 sg:pub.10.1007/s10728-008-0081-0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1049563441
265 https://doi.org/10.1007/s10728-008-0081-0
266 rdf:type schema:CreativeWork
267 sg:pub.10.1186/1472-6963-10-66 schema:sameAs https://app.dimensions.ai/details/publication/pub.1006282354
268 https://doi.org/10.1186/1472-6963-10-66
269 rdf:type schema:CreativeWork
270 https://app.dimensions.ai/details/publication/pub.1074723754 schema:CreativeWork
271 https://app.dimensions.ai/details/publication/pub.1077920187 schema:CreativeWork
272 https://app.dimensions.ai/details/publication/pub.1082664523 schema:CreativeWork
273 https://app.dimensions.ai/details/publication/pub.1082757189 schema:CreativeWork
274 https://doi.org/10.1001/jama.1994.03510480033030 schema:sameAs https://app.dimensions.ai/details/publication/pub.1039623578
275 rdf:type schema:CreativeWork
276 https://doi.org/10.1016/0277-9536(92)90231-e schema:sameAs https://app.dimensions.ai/details/publication/pub.1038533363
277 rdf:type schema:CreativeWork
278 https://doi.org/10.1016/0735-6757(92)90207-e schema:sameAs https://app.dimensions.ai/details/publication/pub.1034257545
279 rdf:type schema:CreativeWork
280 https://doi.org/10.1016/j.ajem.2010.01.003 schema:sameAs https://app.dimensions.ai/details/publication/pub.1015627806
281 rdf:type schema:CreativeWork
282 https://doi.org/10.1016/j.annemergmed.2006.06.027 schema:sameAs https://app.dimensions.ai/details/publication/pub.1006831803
283 rdf:type schema:CreativeWork
284 https://doi.org/10.1016/j.annemergmed.2008.03.014 schema:sameAs https://app.dimensions.ai/details/publication/pub.1023523054
285 rdf:type schema:CreativeWork
286 https://doi.org/10.1016/s0007-9960(04)94482-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1049599992
287 rdf:type schema:CreativeWork
288 https://doi.org/10.1016/s0196-0644(00)70105-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1053657724
289 rdf:type schema:CreativeWork
290 https://doi.org/10.1016/s0196-0644(05)82059-1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1025634785
291 rdf:type schema:CreativeWork
292 https://doi.org/10.1016/s0196-0644(94)70042-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1007035226
293 rdf:type schema:CreativeWork
294 https://doi.org/10.1016/s0196-0644(96)70108-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1010462985
295 rdf:type schema:CreativeWork
296 https://doi.org/10.1016/s0196-0644(96)70240-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1004471375
297 rdf:type schema:CreativeWork
298 https://doi.org/10.1016/s0196-0644(99)70223-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1007601347
299 rdf:type schema:CreativeWork
300 https://doi.org/10.1016/s0735-6757(00)90115-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1013225100
301 rdf:type schema:CreativeWork
302 https://doi.org/10.1016/s0735-6757(97)90083-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1019966583
303 rdf:type schema:CreativeWork
304 https://doi.org/10.1046/j.1365-2648.1993.18071141.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1038090102
305 rdf:type schema:CreativeWork
306 https://doi.org/10.1067/mem.2001.113464 schema:sameAs https://app.dimensions.ai/details/publication/pub.1048397358
307 rdf:type schema:CreativeWork
308 https://doi.org/10.1093/fampra/15.1.23 schema:sameAs https://app.dimensions.ai/details/publication/pub.1052005039
309 rdf:type schema:CreativeWork
310 https://doi.org/10.1093/fampra/15.1.33 schema:sameAs https://app.dimensions.ai/details/publication/pub.1012641601
311 rdf:type schema:CreativeWork
312 https://doi.org/10.1093/ptj/85.3.257 schema:sameAs https://app.dimensions.ai/details/publication/pub.1077013196
313 rdf:type schema:CreativeWork
314 https://doi.org/10.1097/00007611-199712000-00009 schema:sameAs https://app.dimensions.ai/details/publication/pub.1083186474
315 rdf:type schema:CreativeWork
316 https://doi.org/10.1097/mej.0b013e328304ae57 schema:sameAs https://app.dimensions.ai/details/publication/pub.1036084696
317 rdf:type schema:CreativeWork
318 https://doi.org/10.1111/j.1553-2712.1996.tb03429.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1017699456
319 rdf:type schema:CreativeWork
320 https://doi.org/10.1111/j.1553-2712.1997.tb03695.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1003196148
321 rdf:type schema:CreativeWork
322 https://doi.org/10.1111/j.1553-2712.2001.tb01111.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1020171473
323 rdf:type schema:CreativeWork
324 https://doi.org/10.1111/j.1742-6723.2005.00779.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1051668513
325 rdf:type schema:CreativeWork
326 https://doi.org/10.1148/radiology.143.1.7063747 schema:sameAs https://app.dimensions.ai/details/publication/pub.1082130998
327 rdf:type schema:CreativeWork
328 https://doi.org/10.1177/107755879505200402 schema:sameAs https://app.dimensions.ai/details/publication/pub.1054051028
329 rdf:type schema:CreativeWork
330 https://doi.org/10.1197/j.aem.2004.08.032 schema:sameAs https://app.dimensions.ai/details/publication/pub.1053326561
331 rdf:type schema:CreativeWork
332 https://doi.org/10.2307/2529310 schema:sameAs https://app.dimensions.ai/details/publication/pub.1069974986
333 rdf:type schema:CreativeWork
334 https://doi.org/10.3917/meta.penef.2000.01 schema:sameAs https://app.dimensions.ai/details/publication/pub.1099299914
335 rdf:type schema:CreativeWork
336 https://www.grid.ac/institutes/grid.411535.7 schema:alternateName Hôpital de la Conception
337 schema:name Service d'Accueil des Urgences, Hôpital de La Conception, Marseille, France
338 rdf:type schema:Organization
339 https://www.grid.ac/institutes/grid.414364.0 schema:alternateName Hôpital Saint Joseph
340 schema:name Service d'Accueil des Urgences, Hôpital Saint Joseph, Marseille, France
341 rdf:type schema:Organization
342 https://www.grid.ac/institutes/grid.414438.e schema:alternateName Hôpital Sainte-Marguerite
343 schema:name Service d'Accueil des Urgences, Hôpital Sainte Marguerite, Marseille, France
344 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...