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Thesis/Dissertation Information
- Degree Disciplines:
- Nursing
Notes
- Abstract:
- Background: Historically, the emergency department (ED) has played a central role in being a critical point of access to health care. Between 1996 and 2006, the annual number of ED visits increased by 32%, from 90.3 million to 119.2 million visits. Between 2003 and 2009 the median time to see a licensed health care provider in the ED increased 22%, from 27 minutes to 33 minutes. These numbers are expected to increase dramatically due to the recent passage of health care reform and the expansion of health insurance coverage in the United States, which compromises patient safety making ED triage a challenge. Purpose: The purpose of this project is to pilot an educational program on the Emergency Severity Index v.4 triage system to emergency department nurses at a university hospital. Theoretical Framework: The Donabedian framework of structure, process, and outcome was used to guide this project. Donabedian proposed that the assessment of high-quality care could be achieved by examining the structure of the setting in which care is provided, measuring the process of care, and by assessing the outcome of care. Methods: The method utilized for this project was a retrospective de-identified chart review 6 months post education implementation. Results: The aggregate threshold for triage accuracy was set at 90 percent, but the aggregate triage accuracy rate was calculated at 70%. There was no level 1 or level 5 triage patients for analysis, so level 2 triage patients were triage correctly at 50% (n=6), level 3 at 87.5% (n=8), and level 4 at 66.7% (n=6). Under-triage was more prevalent (83.4%) than over-triage (16.6%). Conclusion: The evaluation phase of the ESI v.4 education implementation indicated triage nurses were more likely to under-triage than over-triage; however, the sample size used in this pilot project was small and future projects consisting of a larger sample size are warranted. In evaluating the effectiveness of the ESI triage education program, the aggregate threshold of 90% accuracy was not met, and the goal was to keep mistriages at 10%.
- Thesis:
- Thesis (D.N.P.)--Barry University, 2014.
- Bibliography:
- Includes bibliographical references (leaves 77-84).
Record Information
- Source Institution:
- Barry University
- Holding Location:
- Barry University Archives and Special Collections
- Rights Management:
- Copyright Jacquelyn Nimer. Permission granted to Barry University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.
- Resource Identifier:
- RT120.E4 N56 2014_NimerJaquelyn ( BU-Local )
- Classification:
- RT120.E4 N56 2014 ( lcc )
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