Accuracy of nurses’ performance in triage using the emergency severity index and its relationship with clinical outcome measures

Emergency department (ED) triage in hospitals is part of their emergency structure carried out by nurses in emergency units. There have not been many studies available on nurses' performance in triage based on the emergency severity index (ESI). This present study aimed to investigate the nurs...

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Main Authors: Nazer Shabrandi, Mohamad Iraj Bagheri-Saweh, Bijan Nouri, Sina Valiee
Format: Article
Language:English
Published: PAGEPress Publications 2022-12-01
Series:Emergency Care Journal
Subjects:
Online Access:https://pagepressjournals.org/index.php/ecj/article/view/10638
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author Nazer Shabrandi
Mohamad Iraj Bagheri-Saweh
Bijan Nouri
Sina Valiee
author_facet Nazer Shabrandi
Mohamad Iraj Bagheri-Saweh
Bijan Nouri
Sina Valiee
author_sort Nazer Shabrandi
collection DOAJ
description Emergency department (ED) triage in hospitals is part of their emergency structure carried out by nurses in emergency units. There have not been many studies available on nurses' performance in triage based on the emergency severity index (ESI). This present study aimed to investigate the nurses’ performance in triage with regard to the emergency severity index and its relation to clinical outcome measures in the emergency department. This was a cross-sectional study. The hospitalization record of 600 patients who arrived at the emergency department of Sanandaj Social Security Hospital was randomly assessed based on the accuracy of triage performed by nurses. The data analysis procedure was done by employing STATA software version 12, as well as Fisher's exact test, independent t-test, and one-way ANOVA. Findings of the study revealed that nurses’ overall performance in triage showed that 82.67% of nurses had perfect triage accuracy, 12.17% had low-level triage accuracy and 5.17% had high-level triage accuracy. There was an association between nurses' performance in triage with the disposition of patients (p=0.029) and length of stay (p=0.009). Results of the study highlighted the importance of theoretical and practical triage training courses for nurses and provided a foundation for identifying effective factors for decreasing the length of stay and disposition of patients in emergency care units.
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spelling doaj.art-1a8e5e23d0fd4766bb77c6aa1139a0bc2022-12-22T04:23:56ZengPAGEPress PublicationsEmergency Care Journal1826-98262282-20542022-12-0118410.4081/ecj.2022.10638Accuracy of nurses’ performance in triage using the emergency severity index and its relationship with clinical outcome measuresNazer Shabrandi0Mohamad Iraj Bagheri-Saweh1Bijan Nouri2Sina Valiee3Students Research Committee, Kurdistan University of Medical Sciences, SanandajClinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj; Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, SanandajSocial Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, SanandajClinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj; Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj Emergency department (ED) triage in hospitals is part of their emergency structure carried out by nurses in emergency units. There have not been many studies available on nurses' performance in triage based on the emergency severity index (ESI). This present study aimed to investigate the nurses’ performance in triage with regard to the emergency severity index and its relation to clinical outcome measures in the emergency department. This was a cross-sectional study. The hospitalization record of 600 patients who arrived at the emergency department of Sanandaj Social Security Hospital was randomly assessed based on the accuracy of triage performed by nurses. The data analysis procedure was done by employing STATA software version 12, as well as Fisher's exact test, independent t-test, and one-way ANOVA. Findings of the study revealed that nurses’ overall performance in triage showed that 82.67% of nurses had perfect triage accuracy, 12.17% had low-level triage accuracy and 5.17% had high-level triage accuracy. There was an association between nurses' performance in triage with the disposition of patients (p=0.029) and length of stay (p=0.009). Results of the study highlighted the importance of theoretical and practical triage training courses for nurses and provided a foundation for identifying effective factors for decreasing the length of stay and disposition of patients in emergency care units. https://pagepressjournals.org/index.php/ecj/article/view/10638Triageemergencynurseemergency severity index
spellingShingle Nazer Shabrandi
Mohamad Iraj Bagheri-Saweh
Bijan Nouri
Sina Valiee
Accuracy of nurses’ performance in triage using the emergency severity index and its relationship with clinical outcome measures
Emergency Care Journal
Triage
emergency
nurse
emergency severity index
title Accuracy of nurses’ performance in triage using the emergency severity index and its relationship with clinical outcome measures
title_full Accuracy of nurses’ performance in triage using the emergency severity index and its relationship with clinical outcome measures
title_fullStr Accuracy of nurses’ performance in triage using the emergency severity index and its relationship with clinical outcome measures
title_full_unstemmed Accuracy of nurses’ performance in triage using the emergency severity index and its relationship with clinical outcome measures
title_short Accuracy of nurses’ performance in triage using the emergency severity index and its relationship with clinical outcome measures
title_sort accuracy of nurses performance in triage using the emergency severity index and its relationship with clinical outcome measures
topic Triage
emergency
nurse
emergency severity index
url https://pagepressjournals.org/index.php/ecj/article/view/10638
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AT bijannouri accuracyofnursesperformanceintriageusingtheemergencyseverityindexanditsrelationshipwithclinicaloutcomemeasures
AT sinavaliee accuracyofnursesperformanceintriageusingtheemergencyseverityindexanditsrelationshipwithclinicaloutcomemeasures