Home
Resource
Improving emergency department triage with accurate emergency severity index allocation
PDF
PDF format is widely accepted and good for printing.
Plug-in required
PDF-1(903.79 kb)
Citation & Export
View Usage Statistics
Staff View

Citation & Export
Hide

Simple citation

Ugbo, Saturday Matthew. Improving emergency department triage with accurate emergency severity index allocation. Retrieved from https://doi.org/doi:10.7282/t3-hebx-pb04

Export

Click here for information about Citation Management Tools at Rutgers.

Statistics
Hide

Description

TitleImproving emergency department triage with accurate emergency severity index allocation
NameUgbo, Saturday Matthew (author); Kamienski, Mary (chair); Rutgers University; School of Nursing - RBHS
Date Created2020
Other Date2020-05 (degree)
SubjectED, Family Nurse Practitioner in Emergency Care
Extent1 online resource (83 pages) : illustrations
DescriptionIntroduction: Unlike any other aspects of the American Health System, the Emergency Department (ED) receives an average of 145.6 million visits per year (CDC, 2019). The high number of visits with the limited resources presents a growing challenge to the healthcare professionals who are constantly evaluating new ways to provide safe and timely intervention to wide range of patients’ chief complaints in the ED. Unlike other parts of the healthcare system, the ED continues to screen and treat all Americans regardless of their ability to pay or other social-political determinant of health. ED visits across the country does not require appointments or time of visits. Overcrowding in the emergency department (ED) has become a worldwide public health problem over the last decade (DiSomma et al., 2015). As a result of upsurge and the problem of over crowdedness, the five-level Emergency Severity Index (ESI) triage was developed to help prioritize incoming patients and to identify those who cannot wait to be seen.
Purpose: The purpose of this project was to improve current ED triage knowledge and confidence level through education and training to provide a safer practice and improve health outcomes for all ED visits. The authors of the ESI triage algorithm recommended that the rate of ED mistriage should be kept less than 10% (Gilboy, Tanabe, Travers, & Rosenau, 2015).

Method: The quality improvement project utilized a pretest and a post-test method to evaluate if ESI education increased nurses' triage knowledge and confidence level. The setting was an urban institute of higher learning in northern New Jersey. The participants were graduate nursing students working as registered nurses in the ED. A standardized case base scenario was provided to each participant in pre and post-education phases.

Implications: The quality improvement project increased ESI knowledge, which will improve the current ED triage practice. Improvements in ED triage practice was evident by improved accuracy of ESI triage level assignation and confidence in triaging.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-hebx-pb04
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
Version 8.5.5
Rutgers University Libraries - Copyright ©2024