紧急严重指数年度能力评估对分诊错误的影响。
Effect of Emergency Severity Index Annual Competency Assessment on Mistriage.
机构信息
Sanford Acute Care, Sanford Sports Complex Acute Care, Sioux Falls, South Dakota (Dr Hoffman); College of Nursing, South Dakota State University, Rapid City (Dr Voss); South Dakota State University College of Nursing-Aberdeen Campus, Aberdeen (Dr Hendrickx); and North Central Heart Institute, Sioux Falls, South Dakota (Dr Gibson).
出版信息
J Nurs Care Qual. 2022;37(4):356-361. doi: 10.1097/NCQ.0000000000000638. Epub 2022 Aug 10.
BACKGROUND
There is limited evidence identifying best practices to promote competency of accurate assignment of the Emergency Severity Index (ESI) acuity level to patients who present to the emergency department (ED) triage.
LOCAL PROBLEM
Triage-trained nurses do not receive competency training in an ESI triage tool.
METHODS
A retrospective chart review of 150 patients was completed to evaluate mistriage rates before and after triage-trained nurses completed an ESI competency assessment.
RESULTS
The retrospective chart review showed no statistically significant difference in mistriage from pre- to postintervention ( P = .8535).
CONCLUSIONS
Implementation of an ESI annual competency assessment aligns well with an emerging theme in the literature that ED nurses should be provided with ongoing education that reinforces knowledge and implementation of ESI triaging.
背景
目前仅有有限的证据可以确定最佳实践，以提高在急诊分诊中准确判断患者紧急严重程度指数（ESI）严重程度级别的能力。
本地问题
接受过分诊培训的护士并未接受 ESI 分诊工具的能力培训。
方法
对 150 名患者进行了回顾性图表审查，以评估在接受过 ESI 能力评估的分诊护士完成后，分诊错误率是否发生变化。
结果
回顾性图表审查显示，干预前后分诊错误率无统计学差异（P =.8535）。
结论
实施 ESI 年度能力评估符合文献中提出的一个新主题，即应为急诊护士提供持续教育，以强化他们对 ESI 分诊的知识和应用。
Zotero 插件