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Table 3 Screening undertaken by the OPTAs and inter-rater agreement with RN

From: An assistant workforce to improve screening rates and quality of care for older patients in the emergency department: findings of a pre- post, mixed methods study

Tool and Statistic Results
Six Item Screener
 Number of patients screened by OPTAs (N) 2347 (51%)
 Number of patients screened by RN for validation of six Item screener (N) 86
 Weighted Kappa (95% CI) 0.95 (0.90, 0.99)
Confusion Assessment Method Instrument (CAMI)
 Number of patients screened by OPTAs (N) 1199 (26%)
 Number of patients screened by RNs for validation of CAMI (N) 58
 Weighted Kappa (95% CI) 0.88 (0.60, 1.00)
Identification of Seniors at Risk
 Number of patients screened by OPTAs (N) 2593 (57%)
 Number of patients screened by RN for Validation of Identification of Seniors at Risk (N) 73
 Weighted Kappa (95% CI) 1.00(0.99, 1.00)
Falls Risk Screen
 Number of patients screened by OPTAs (N) 3969 (80%)
 Number of patients screened by RNs for validation of falls risk screen by RN (N) 99
 Weighted Kappa (95% CI) 0.95 (0.89, 1.00)
Pain Score (0 to 10)
 Number of patients screened by OPTAs (N) 2921 (64%)
 Number of patients screened by RN for validation of pain score by RN (N) 62
 Weighted Kappa (95% CI) 0.91 (0.70, 1.00)
Carer Strain Index
 Number of patients screened by OPTAs (N) 547 (12%)
 Number of patients screened by RN for validation of carer strain index (N) 20
 Weighted Kappa (95% CI) 1.00 (1.00, 1.00)
Mini-nutritional Assessment
 Number of patients screened by OPTAs (N) 1697 (37%)
 Number of patients screened by RN for validation of mini-nutritional assessment (N) 61
 Weighted Kappa (95% CI) 1.00(1.00, 1.00)
Waterlow Pressure Ulcer Risk Screen
 Number of patients screened by OPTAs (N) 3665 (80%)
 Number of patients screened by RNs for validation of Waterlow Pressure Ulcer Risk Screen (N) 81
 Weighted Kappa (95% CI) 0.90(0.78, 1.00)