Patient classification systems: a new approach to computing reliability.

Patient classification systems are an integral part of managing nursing care that requires accuracy and consistency. Assessing interrater reliability is essential in monitoring and evaluating patient classification systems. Unfortunately, little attention has been paid to statistically assessing reliability. The most commonly used method, percentage of agreement, is limited and tends to be inflated due to chance variation. The ANOVA method, although more complex computationally, offers more accuracy and flexibility.

[1]  J. A. Wakefield.  Relationship Between Two Expressions of Reliability: Percentage Agreement and Phi , 1980 .

[2]  D M Baer,et al.  Reviewer's comment: just because it's reliable doesn't mean that you can use it. , 1977, Journal of applied behavior analysis.

[3]  B. Garvin,et al.  Reliability in Category Coding Systems , 1988, Nursing research.

[4]  Dee Ann Gillies,et al.  Nursing management: A systems approach , 1982 .

[5]  D P Hartmann,et al.  Considerations in the choice of interobserver reliability estimates. , 1977, Journal of applied behavior analysis.

[6]  M. Topf,et al.  Three estimates of interrater reliability for nominal data. , 1986, Nursing research.

[7]  D F Niemeier,et al.  A Monitoring System for Patient Classification in Critical Care , 1985, Dimensions of critical care nursing : DCCN.

[8]  R R Alward,et al.  Patient classification systems: the ideal vs. reality. , 1983, The Journal of nursing administration.

[9]  P Giovannetti,et al.  Understanding patient classification systems. , 1979, The Journal of nursing administration.

[10]  B. J. Winer.  Statistical Principles in Experimental Design , 1992 .

[11]  P. Giovannetti,et al.  Building Confidence in Patient Classification Systems , 1984, Nursing management.

[12]  T R Knapp.  Validity, reliability, and neither. , 1985, Nursing research.

[13]  L. Crocker,et al.  Introduction to Classical and Modern Test Theory , 1986 .

[14]  R. Alward.  Patient Classification Systems , 1983 .

[15]  E. A. Haggard,et al.  Intraclass Correlation and the Analysis of Variance , 1958 .

[16]  C C Washington,et al.  Pragmatic aspects of establishing interrater reliability in research. , 1988, Nursing research.

[17]  Ebener Mk.  Reliability and validity basics for evaluating classification systems. , 1985 .

[18]  L M Huckabay,et al.  Patient classification systems: the problems faced. , 1981, Nursing & health care : official publication of the National League for Nursing.

[19]  Howard B. Lee,et al.  Foundations of Behavioral Research , 1973 .

[20]  L. Cronbach.  Essentials of psychological testing , 1960 .