Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Implementation and refinement of the emergency severity index.

R C Wuerz1, D Travers, N Gilboy

  • 1Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA, USA.

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
|February 7, 2001
PubMed
Summary

The new five-level Emergency Severity Index (ESI) algorithm was successfully implemented in hospital emergency departments, demonstrating reproducible patient stratification and improved usability for nurses.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Self-assessment of healthcare workers regarding the management of trans people in a university hospital].

Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie·2021
Same author

Resource recovery assessment at a pulp mill wastewater treatment plant in Uruguay.

Journal of environmental management·2019
Same author

Isotretinoin and risk factors for suicide attempt: a population-based comprehensive case series and nested case-control study using 2010-2014 French Health Insurance Data.

Journal of the European Academy of Dermatology and Venereology : JEADV·2019
Same author

Subthalamic nucleus stimulation in Parkinson disease induces apathy: a PET study.

Neurology·2009
Same author

[Suicide in Huntington's disease: a review].

Revue medicale suisse·2009
Same author

Emotion recognition impairment and apathy after subthalamic nucleus stimulation in Parkinson's disease have separate neural substrates.

Neuropsychologia·2008

Area of Science:

  • Emergency Medicine
  • Nursing Practice
  • Healthcare Management

Background:

  • Traditional emergency department (ED) triage systems often lack sufficient granularity.
  • A standardized, validated triage tool is crucial for efficient patient flow and resource allocation.

Purpose of the Study:

  • To implement and validate the five-level Emergency Severity Index (ESI) algorithm in nursing practice.
  • To assess the ESI's reproducibility and its association with patient outcomes like hospitalization and ED length of stay.

Main Methods:

  • The ESI algorithm was introduced to triage nurses in two university hospital EDs using change management strategies.
  • Interrater reliability was assessed via posttests and paired patient triage assignments.
  • A cohort validation study analyzed outcomes for 8,251 adult patients.

Related Experiment Videos

Main Results:

  • High interrater reliability was achieved (weighted kappa 0.80 and 0.73).
  • ESI triage level strongly correlated with hospitalization rates (92% in level 1 vs. 2% in level 5).
  • Median ED length of stay varied significantly across triage levels, with extremes showing shorter stays.

Conclusions:

  • Nurses successfully implemented the ESI, providing valuable feedback for its refinement.
  • The ESI reproducibly stratifies ED patients into five acuity groups with distinct clinical outcomes.
  • The ESI offers a more user-friendly and effective triage instrument compared to previous systems.