• Michele Twomey, Lee A Wallis, and Jonathan E Myers.
• School of Public Health, University of Cape Town, Cape Town, South Africa. satriage@webmail.co.za
• Emerg Med J. 2007 Jul 1; 24 (7): 477-9.

ObjectiveTo examine whether current validation methods of emergency department triage scales actually assess the instrument's validity.MethodsOptimal methods of emergency department triage scale validation are examined in developed countries and their application to developing countries is considered.Results And ConclusionNumerous limitations are embedded in the process of validating triage scales. Methods of triage scale validation in developed countries may not be appropriate and repeatable in developing countries. Even in developed countries there are problems in conceptualising validation methods. A new consensus building validation approach has been constructed and recommended for a developing country setting. The Delphi method, a consensual validation process, is advanced as a more appropriate alternative for validating triage scales in developing countries.

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