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Improving triage accuracy in an urban emergency department
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Perard, Pascale. Improving triage accuracy in an urban emergency department. Retrieved from https://doi.org/doi:10.7282/t3-7gjr-kg11

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TitleImproving triage accuracy in an urban emergency department
NamePerard, Pascale (author); Holly, Cheryl (chair); Jean-Baptiste, Eddy (member); Amedee, Kattlene (member); Rutgers University; RBHS School of Nursing
Date Created2022
Other Date2022-10 (degree)
SubjectNursing, Correct triage assessment, Effective triage training, Emergency severity index (ESI), Over-triage, Triage, Under-triage
Extent99 pages : illustrations
DescriptionPurpose of Project: The purpose of this study was to provide an effective solution for over and/or under-triage in the Emergency Department (ED) of an urban Level 1 Trauma Center in the Northeast.
Methodology: A specific educational program was designed to increase both the knowledge level and skill in triage assessment among nurses tasked with triage assessment. A quasi-experimental approach was used where the participants self-assessed their knowledge using the Emergency Severity Index (ESI) instrument on 20 different scenarios.
Results: Fifteen nurses participated in the project. Their years of experience was 2-5 years (33%), 6-10 years (26.7%), 11- 20 years (33.3%) years and 21-30 (6.7%) years. Most of the participants (N=8) believed themselves to be moderately knowledgeable, a few (N=5) assessed themselves as highly knowledgeable, and two felt they had minimal triage knowledge. Participants then took part in an in-person educational program. Participants were assessed again using the ESI on the same 20 scenarios. Using a paired t-test, the results showed a significant improvement in correct assessment of the scenarios (t(14) = 6.85; p<0.001).
Implications for Practice: The implication of this project supports the benefit of triage-specific education and use of the ESI instrument to improve triage assessment skills among emergency room nurses. Correct triage skills will ultimately improve patient outcomes, health care quality, and reduce patient wait time, morbidity/mortality rates, and health-care expenditures.
NoteD.N.P.
NoteIncludes bibliographical references
Genretheses
Persistent URLhttps://doi.org/doi:10.7282/t3-7gjr-kg11
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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