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Nursing Clinical Information System01:27

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Nursing Clinical Information System (NCIS)
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Development of Nurse-Sensitive, Emergency Department-Specific Quality Indicators Using a Modified Delphi Technique.

Lisa Wolf1, Altair Delao, Cydne Perhats

  • 1Emergency Nurses Association, Schaumburg, Illinois (Dr Wolf and Mss Delao, Perhats, and Olson); and UVA Health, Charlottesville, Virginia (Dr Baker).

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This study identified 21 nursing-sensitive quality indicators for emergency departments (EDs), focusing on triage, special populations, transitions of care, and medical/surgical care. Further research is needed to validate these indicators for improved emergency care quality.

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Area of Science:

  • Emergency Medicine
  • Nursing Quality Improvement
  • Healthcare Management

Background:

  • No established nursing-sensitive quality indicators specifically for the emergency department (ED) setting exist.
  • Existing quality metrics may not be specific to the unique challenges of emergency care.

Purpose of the Study:

  • To identify nursing-sensitive, ED-specific quality indicators.
  • To address the gap in quality measurement within the emergency care environment.
  • To develop and test indicators across different patient populations and phases of the ED visit.

Main Methods:

  • A modified Delphi technique was employed to achieve consensus among experts.
  • Quality indicators were grouped into thematic categories for analysis.

Main Results:

  • Twenty-one quality indicators were identified across four thematic groups: triage (6), special populations (4), transitions of care (4), and medical/surgical (7).
  • Triage indicators received the highest ranking for importance.

Conclusions:

  • Many initially proposed metrics lacked ED specificity or were influenced by the emergency care environment.
  • Alternative methodologies are recommended for identifying critical areas for quality measurement in EDs.