Table 4

Within-staff-type ICC and between-staff-type group ICC comparisons of holistic scale score reliability for phases of care and overall score

Reviewer pairsNo. of reviewer pairs (or triplets)No. of case notesWeighted mean ICC* between ranked scores
Admission/investigations and examination phaseInitial management phasePredischarge phaseOverall care
Within-staff-type ICC results
Doctor vs doctor4127Weighted mean0.580.700.460.52
95% CI0.48 to 0.680.63 to 0.780.34 to 0.590.41 to 0.62
Nurse/clinical vs nurse/clinical4144Weighted mean0.500.220.430.46
95% CI0.38 to 0.620.07 to 0.370.30 to 0.550.34 to 0.59
Non-clinical audit staff vs non-clinical audit staff287Weighted mean0.350.100.390.47
95% CI0.16 to 0.54−0.10 to 0.300.21 to 0.570.22 to 0.66
Between staff type comparisons of ICC
Doctor vs nurse/clinical5179Weighted mean0.230.250.290.43
95% CI0.09 to 0.370.12 to 0.390.16 to 0.430.31 to 0.54
Doctor vs non-clinical audit staff6188Weighted mean−0.010.030.250.24
95% CI−0.15 to 0.12−0.11 to 0.160.12 to 0.380.12 to 0.37
Nurse/clinical vs non-clinical audit staff134Weighted mean−0.120.190.470.43
95% CI−0.44 to 0.23−0.15 to 0.490.17 to 0.700.11 to 0.67
  • ICC, intraclass correlation.

  • * Weighted mean ICC: estimates from the different combinations of reviewers were pooled using a weighting that was inversely proportional to the variance of the estimate.