The Association of Emergency Severity Index Score and Patient and Family Experience in a Pediatric Emergency Department

The study aim was to determine the relationship between a patient's Emergency Severity Index (ESI) score and their or their family's response to the key performance indicator (KPI) question on the post-visit patient and family experience (PFE) survey. Retrospective review of patients prese...

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Main Authors: Adam A Vukovic MD, MEd, Callie Krentz MD, Abigail Gauthier MD, Nusrat Harun PhD, Stephen C Porter MD, MSc
Format: Article
Language:English
Published: SAGE Publishing 2023-07-01
Series:Journal of Patient Experience
Online Access:https://doi.org/10.1177/23743735231179040
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author Adam A Vukovic MD, MEd
Callie Krentz MD
Abigail Gauthier MD
Nusrat Harun PhD
Stephen C Porter MD, MSc
author_facet Adam A Vukovic MD, MEd
Callie Krentz MD
Abigail Gauthier MD
Nusrat Harun PhD
Stephen C Porter MD, MSc
author_sort Adam A Vukovic MD, MEd
collection DOAJ
description The study aim was to determine the relationship between a patient's Emergency Severity Index (ESI) score and their or their family's response to the key performance indicator (KPI) question on the post-visit patient and family experience (PFE) survey. Retrospective review of patients presenting to the Pediatric Emergency Department between July 1, 2021, and June 30, 2022, who completed the KPI question on an associated post-visit survey. We performed univariate analyses on all candidate variables; multivariable linear regression identified independent predictors of KPI on the PFE survey. A total of 8136 patients were included in the study. Although ESI score was significantly associated with PFE in univariate analysis, this association was lost in the multivariable model. Independent associations were appreciated with race/ethnicity, time to provider, length of stay, and procedure performance during the visit. Although ESI is not independently associated with PFE in this study, its interaction with factors such as time to provider, length of stay, and procedure performance may be important for emergency department providers creating interventions to impact experience during low acuity visits.
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spelling doaj.art-8daed81b3a5d4bfc83536dd52f82ef7b2023-07-17T05:03:28ZengSAGE PublishingJournal of Patient Experience2374-37432023-07-011010.1177/23743735231179040The Association of Emergency Severity Index Score and Patient and Family Experience in a Pediatric Emergency DepartmentAdam A Vukovic MD, MEd0Callie Krentz MD1Abigail Gauthier MD2Nusrat Harun PhD3 Stephen C Porter MD, MSc4 Division of Emergency Medicine, , Cincinnati, OH, USA Department of Pediatrics, , Cincinnati, OH, USA Department of Pediatrics, , Cincinnati, OH, USA Division of Biostatistics and Epidemiology, , Cincinnati, OH, USA Division of Emergency Medicine, , Cincinnati, OH, USAThe study aim was to determine the relationship between a patient's Emergency Severity Index (ESI) score and their or their family's response to the key performance indicator (KPI) question on the post-visit patient and family experience (PFE) survey. Retrospective review of patients presenting to the Pediatric Emergency Department between July 1, 2021, and June 30, 2022, who completed the KPI question on an associated post-visit survey. We performed univariate analyses on all candidate variables; multivariable linear regression identified independent predictors of KPI on the PFE survey. A total of 8136 patients were included in the study. Although ESI score was significantly associated with PFE in univariate analysis, this association was lost in the multivariable model. Independent associations were appreciated with race/ethnicity, time to provider, length of stay, and procedure performance during the visit. Although ESI is not independently associated with PFE in this study, its interaction with factors such as time to provider, length of stay, and procedure performance may be important for emergency department providers creating interventions to impact experience during low acuity visits.https://doi.org/10.1177/23743735231179040
spellingShingle Adam A Vukovic MD, MEd
Callie Krentz MD
Abigail Gauthier MD
Nusrat Harun PhD
Stephen C Porter MD, MSc
The Association of Emergency Severity Index Score and Patient and Family Experience in a Pediatric Emergency Department
Journal of Patient Experience
title The Association of Emergency Severity Index Score and Patient and Family Experience in a Pediatric Emergency Department
title_full The Association of Emergency Severity Index Score and Patient and Family Experience in a Pediatric Emergency Department
title_fullStr The Association of Emergency Severity Index Score and Patient and Family Experience in a Pediatric Emergency Department
title_full_unstemmed The Association of Emergency Severity Index Score and Patient and Family Experience in a Pediatric Emergency Department
title_short The Association of Emergency Severity Index Score and Patient and Family Experience in a Pediatric Emergency Department
title_sort association of emergency severity index score and patient and family experience in a pediatric emergency department
url https://doi.org/10.1177/23743735231179040
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