| 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 |
540 Gaither Road Rockville, MD 20850 