Emergency Severity Index (ESI) Implementation Handbook, 2012 Edition Table 8.3 Possible Triage Quality Improvement Indicators Table 8.3 Possible Triage Quality Improvement IndicatorsIOM AimsStructure, Process, OutcomesIndicatorData Source/MethodSafetyStructureImplementation of ESI (reliable and valid system)Administrative processProcessAssignment of correct ESI triage level (under and over triage levelsReview of triage note by triage expertOutcomeReview of all negative outcomesReview by internal QI or triage committeeEffectivenessStructureImplementation of nurse initiated analgesic protocol at triageAdministrative policyProcessProportion of patients with pain eligible for analgesics at triage that received themMedical record reviewOutcomeDecrease in patient reported pain score within 30 minutes of arrivalMedical record reviewPatient-CenterednessProcessDocumentation of a subjective statement by the patient describing reason for visitMedical record and triage noteTimelinessProcessTime of arrival to time to physician evaluationMedical record reviewEfficiencyStructureStaffing policy to allow flexibility in RN staffing pattern to meet the demands of changing influx of patients at triageAdministrative policyProcessIncreased RN's float to triage during increased influx and move to other patient care areas when triage demand is lowStaffing pattern log reviews Length of stay per ESI triage levelMedical record and triage note Admission rates per ESI triage levelMedical record and triage note Review of all ESI level 4 and 5 cases admitted to the hospitalMedical record and triage noteEquityProcessAll patients eligible for analgesics at triage according to the protocol receive them, regardless of gender or raceMedical record and triage noteReturn to Document Current as of November 2011 Internet Citation: Emergency Severity Index (ESI) Implementation Handbook, 2012 Edition: Table 8.3 Possible Triage Quality Improvement Indicators. November 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/hospital/esi/esitab8-3.html
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