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Improving emergency department triage with accurate emergency severity index allocation
Descriptive
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Title
Improving emergency department triage with accurate emergency severity index allocation
Name
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Ugbo
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Saturday Matthew
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Saturday Matthew Ugbo
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author
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Kamienski
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Mary
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Mary Kamienski
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Advisory Committee
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chair
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Rutgers University
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degree grantor
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School of Nursing - RBHS
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school
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theses
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2020
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2020-05
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English
Abstract
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Introduction: 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.
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.
Subject
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Topic
ED
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Topic
Family Nurse Practitioner in Emergency Care
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Rutgers University Electronic Theses and Dissertations
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ETD_10778
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1 online resource (83 pages) : illustrations
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DNP
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Includes bibliographical references
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School of Nursing (RBHS) DNP Projects
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rucore10004500001
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doi:10.7282/t3-hebx-pb04
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ETD doctoral
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Rights
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The author owns the copyright to this work.
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ugbo
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saturday
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Permission or license
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2020-04-19 18:24:26
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saturday ugbo
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Rutgers University. School of Nursing - RBHS
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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2020-05-31
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2022-05-31
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Access to this PDF has been restricted at the author's request. It will be publicly available after May 31st, 2022.
Copyright
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Copyright protected
Availability
Status
Open
Reason
Permission or license
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