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Limitations in validating emergency department triage scales
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    A method to measure validity of triage systems in paediatric emergency care

    With interest we read the review by Twomey et al (1). They describe that, although four triage systems are widely used and studied, the validity of the systems is sparsely evaluated. (2) In order to evaluate triage systems, different aspects must be considered. First, the reliability of the system has to be studied, measured by interrater agreement. Secondly, the internal validity must be assessed, using a ‘golden standa...

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