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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)