| Titre : | Inter-rater agreement in defining chemical incidents at the National Poisons Information Service, London. (2004) |
| Auteurs : | I. ABUBAKAR ; N. EDWARDS ; N. HERRIOTT ; G.S. LEONARDI ; Guy's and St Thomas'Nhs Hospital Trust. Chemical Incident Response Service. London. GBR |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 58, n° 8, 2004) |
| Pagination : | 718-722 |
| Langues: | Anglais |
| Mots-clés : | Toxique ; Information ; Royaume Uni ; Europe ; Centre antipoison ; Enquête ; Connaissance ; Risque ; Produit chimique ; Formation médicale continue ; Formation continue ; Expérience professionnelle |
| Résumé : | [BDSP. Notice produite par INIST-CNRS X4o4rR0x. Diffusion soumise à autorisation]. Background : National surveillance for chemical incidents is being developed in the UK. It is important to improve the quality of information collected, standardise techniques, and train personnel. Objective : To define the extent to which eight National Poison Information Service specialists in poison information agree on the classification of calls received as "chemical incidents" based on the national definition. Design : Blinded, inter-rater reliability measured using the K statistic for multiple raters. Setting : National Poison Information Service and Chemical Incident Response Service, Guy's and St Thomas'NHS Trust, London. Participants : Eight specialists in poison information who are trained and experienced in handling poisons information calls and have been involved in extracting information for surveillance. Results : The overall level of agreement observed was at least 69% greater than expected by chance (K statistic). Fire and incidents where chemicals were released within a property had a very good level of agreement with K statistic of 83% and 80% respectively. The lowest level of agreement was observed when no one or only one person was exposed to a chemical (33%) and when the chemical was released into the air (48%). Conclusion : High levels of agreement were observed. There is a need for more training and improvement in consistency of the data collected by all organisations. |
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