Emergency Severity Index (ESI): A Triage Tool for Emergency Departments
Table 8.3 Possible Triage Quality Improvement Indicators
Table of Contents
- Emergency Severity Index Implementation Handbook, 2012 Edition
- Chapter 2. Overview of the Emergency Severity Index
- Chapter 3. ESI Level 2
- Chapter 4. ESI Levels 3-5 and Expected Resource Needs
- Chapter 5. The Role of Vital Signs in ESI Triage
- Chapter 6. Use of the ESI for Pediatric Triage
- Chapter 7. Implementation of ESI Triage
- Chapter 8. Evaluation and Quality Improvement
- Chapter 9. Practice Cases
- Chapter 10. Competency Cases
- Appendix A. Frequently Asked Questions and Post-test Materials for Chapters 2-8
- Appendix B. ESI Triage Algorithm, v.4
- Appendix C. Abbreviations and Acronyms (as used in this handbook)
| IOM Aims | Structure, Process, Outcomes | Indicator | Data Source/Method |
|---|---|---|---|
| Safety | Structure | Implementation of ESI (reliable and valid system) | Administrative process |
| Process | Assignment of correct ESI triage level (under and over triage levels | Review of triage note by triage expert | |
| Outcome | Review of all negative outcomes | Review by internal QI or triage committee | |
| Effectiveness | Structure | Implementation of nurse initiated analgesic protocol at triage | Administrative policy |
| Process | Proportion of patients with pain eligible for analgesics at triage that received them | Medical record review | |
| Outcome | Decrease in patient reported pain score within 30 minutes of arrival | Medical record review | |
| Patient-Centeredness | Process | Documentation of a subjective statement by the patient describing reason for visit | Medical record and triage note |
| Timeliness | Process | Time of arrival to time to physician evaluation | Medical record review |
| Efficiency | Structure | Staffing policy to allow flexibility in RN staffing pattern to meet the demands of changing influx of patients at triage | Administrative policy |
| Process | Increased RN's float to triage during increased influx and move to other patient care areas when triage demand is low | Staffing pattern log reviews | |
| Length of stay per ESI triage level | Medical record and triage note | ||
| Admission rates per ESI triage level | Medical record and triage note | ||
| Review of all ESI level 4 and 5 cases admitted to the hospital | Medical record and triage note | ||
| Equity | Process | All patients eligible for analgesics at triage according to the protocol receive them, regardless of gender or race | Medical record and triage note |
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