IMID training was associated with statistically significant improvement in three indicators : outpatients triaged ( adjusted relative risks ( aRR ) = 1.29 , 99 % CI = 1.01,1.64 ) , emergency and priority patients admitted , detained , or referred ( aRR = 1.59 , 99 % CI = 1.04,2.44 ) , and pneumonia suspects assessed ( aRR = 2.31 , 99 % CI = 1.50,3.55 ) .