Evaluation of Version 4 of the Emergency Severity Index in US Emergency Departments for the Rate of Mistriage
Evaluation of Version 4 of the Emergency Severity Index in US Emergency Departments for the Rate of Mistriage
复制标题
美国急诊科紧急严重指数第四版误诊率评估
作者：
D. Sax;E. M. Warton;D. Mark;D. Vinson;M. Kene;D. Ballard;Tina J. Vitale;Katherine R. McGaughey;A. Beardsley;J. Pines;M. Reed;A. Rauchwerger;Jennifer Y Zhang
关键点问题急诊科（艾德）误检率是多少，与误检相关的患者和就诊特征是什么？在2016年1月1日至2020年12月31日期间使用第4版紧急情况严重程度指数评估的21家医院的5315176名成人艾德遭遇的队列研究中，估计三分之一的遭遇发生误治，识别危重患者的敏感性为66%。关键患者的社会人口统计学和临床特征与误检相关。这些研究结果表明，开发更多的数据驱动，标准化的分诊流程可能会限制关键的分诊不足，优化资源分配，并促进ED的更公平的护理。
Key Points Question What is the rate of emergency department (ED) mistriage, and what patient and visit characteristics are associated with mistriage? Findings In a cohort study of 5 315 176 adult ED encounters across 21 hospitals using version 4 of the Emergency Severity Index assessed between January 1, 2016, and December 31, 2020, mistriage occurred in an estimated one-third of encounters, and the sensitivity to identify a critically ill patient was 66%. Key patient sociodemographic and clinical characteristics were associated with mistriage. Meaning These findings suggest that development of more data-driven, standardized triage processes may limit critical undertriage, optimize resource allocation, and promote more equitable care in EDs.
DOI：
10.1111/jnu.12055
发表时间：
2014-03
期刊：
Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing
影响因子：
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作者：
Carter EJ;Pouch SM;Larson EL
通讯作者：
Larson EL