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1. Cleveland Clinic Health System Facility Implements AHRQ's Emergency Severity Index | Agency for Healthcare Research and Quality
   www.ahrq.gov/news/newsroom/case-studies/cquips1209.html
   July 01, 2012 - ) triage system into its split-flow model when it opened a 43-bed Adult and Pediatric ED in 2010. … The ESI Triage Group, a group of medical clinicians, managers, educators, and researchers, further refined … differentiate between the various triage levels. … The pocket cards have the ESI triage algorithm on one side and a list of resources on the reverse side … We also enlarged the pocket resource to poster size for our triage rooms to help get patients to the

2. HopScore: An Electronic Outcomes-Based Emergency Triage System - Final Report (pdf file)
   digital.ahrq.gov/sites/default/files/docs/citation/r21hs023641-levin-final-report-2018.pdf
   January 01, 2018 - level were compared pre- ESI and post- e-triage implementation. … The tool was designed to address general deficiencies in the ESI triage process including lack of ESI … Outcome measures of timeliness pre- ESI and post- e-triage implementation. … Outcome measures of timeliness pre- ESI and post- e-triage implementation. … 3) ESI (pre) E-Triage (post) Low Acuity (Level 4 and 5) ESI (pre) E-Triage (post

3. HopScore: An Electronic Outcomes-Based Emergency Triage System | Digital Healthcare Research
   digital.ahrq.gov/ahrq-funded-projects/hopscore-electronic-outcomes-based-emergency-triage-system
   January 01, 2023 - This project compared the E-triage to the Emergency Severity Index (ESI), the current standard for ED … outcomes compared to ESI.  … Additionally, the nurses assigned an acuity level using ESI. … Compared to ESI, E-triage improved risk stratification for identifying low-risk patients, allowing providers … Concordance of E-triage and nursing triage using ESI was 80 percent, supporting the value of combining

4. Appendix C: Example Implementation Plan | Agency for Healthcare Research and Quality
   www.ahrq.gov/research/findings/final-reports/ptflow/appendix-c.html
   July 01, 2018 - We plan a two-step process for expediting care for ESI 3 patients. … The subset of ESI 3 triaged patients will be referred directly to the physician in triage who will begin … We also had to identify a location within triage that the physician could occupy. … We have five triage bays, and one is currently used for performing EKGs. … The physician in triage would only see a patient after the triage nurse assessed the patient and determined

5. Spotlight (pdf file)
   psnet.ahrq.gov/sites/default/files/2020-03/final_spotlight_case_delays_in_the_ed_powerpoint_for_cme_review_03.09.2020.pdf
   January 01, 2020 - EDs use the ESI triage system, usually performed by a registered nurse 12 1. … Emergency Severity Index (ESI): a Triage Tool for Emergency Department Care, Version 4. 2020:1-114. 2 … Emergency Severity Index (ESI): a Triage Tool for Emergency Department Care, Version 4. 2020:1-114. 2 … frequency of patient reassessment 23 Triage • ESI framework may lead to both over- and under-triage … Emergency Severity Index (ESI): a Triage Tool for Emergency Department Care, Version 4. 2020:1-114. 19

6. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/853774/psn-pdf
   September 27, 2023 - The ESI triage process is insensitive to the nuances in patient presentations. … In the United States, 96% of EDs utilize the Emergency Severity Index (ESI), a triage tool that sorts … , she should have been assigned ESI-2 instead of ESI-3. … criteria and ESI categories 4 and 5; some ESI 3 patients may also qualify. … Emergency Severity Index (ESI): a Triage Tool for Emergency Department Care, Version 4. 2020:1-114.

7. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/60066/psn-pdf
   March 25, 2020 - The triage nurse assigned Emergency Severity Index (ESI) category 2. … EDs use the ESI triage system to sort patients into priority categories based on presenting complaint … Usually performed by a registered nurse, the ESI is a “five-level triage algorithm that categorizes … While there is some evidence that the ESI framework may lead to both over- and under-triage, the nurse … Emergency Severity Index (ESI): a Triage Tool for Emergency Department Care, Version 4. 2020:1-114.

8. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care | PSNet
   psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
   November 25, 2020 - The triage nurse assigned Emergency Severity Index (ESI) category 2. … EDs use the ESI triage system to sort patients into priority categories based on presenting complaint … Usually performed by a registered nurse, the ESI is a “five-level triage algorithm that categorizes emergency … While there is some evidence that the ESI framework may lead to both over- and under-triage, the nurse … Emergency Severity Index (ESI): a Triage Tool for Emergency Department Care, Version 4. 2020:1-114.

9. Delayed Evaluation of Abdominal Pain in an Elderly Patient. | PSNet
   psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
   February 26, 2020 - The ESI triage process is insensitive to the nuances in patient presentations. … In the United States, 96% of EDs utilize the Emergency Severity Index (ESI), a triage tool that sorts … , she should have been assigned ESI-2 instead of ESI-3. … criteria and ESI categories 4 and 5; some ESI 3 patients may also qualify. … Emergency Severity Index (ESI): a Triage Tool for Emergency Department Care, Version 4. 2020:1-114. [

10. Section 4. Identifying Strategies | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ptflow/section4.html
    July 01, 2018 - its data, ED leaders found that 87 percent of LWBS patients were triaged as Emergency Severity Index (ESI … ) Level 3, and the highest LWBS rates occurred among a subset of ESI 3 patients presenting with one of … Further, this subset of ESI 3 patients had an average length of stay of 426 minutes, compared with an … their care with the triage physician. 2. … included both rapid and comprehensive triage training.

11. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/854247/psn-pdf
    October 04, 2023 - cognitive-biases-regarding-utilization-emergency-severity-index-among- emergency-nurses Emergency department triage … This study sought to identify cognitive biases that may negatively impact nurses' triage decision making … In a scenario describing a patient at Emergency Severity Index (ESI) level 1, the highest level, only … 51% of nurses selected the cognitively unbiased triage response. … one-got-away-elopement-suicidal-patient-emergency-department https://psnet.ahrq.gov/issue/errors-nurse-led-triage-observational-study

12. New York City Uses AHRQ's TeamSTEPPS®, Other AHRQ Resources to Advance Patient Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201518.html
    July 01, 2015 - Emergency Severity Index , a five-level triage tool designed to provide timely emergency care to patients … augments its patient safety efforts with another AHRQ-funded resource—the Emergency Severity Index (ESI … ), a triage tool used in emergency care. … “The ESI has provided specific timeframes within which to treat patients based on the severity of their … “ESI guidelines have helped emergency care teams at all of our hospitals provide more timely treatment

13. Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals (pdf file)
    www.ahrq.gov/sites/default/files/publications/files/ptflowguide.pdf
    January 01, 2014 - Available at http://www.ahrq.gov/research/esi/. 2. … their care with the triage physician. 2. … To implement the five-level ESI triage system at Hahnemann University Hospital, a committee of nine nurses … The subset of ESI 3 triaged patients will be referred directly to the physician in triage who will begin … The physician in triage would only see a patient after the triage nurse assessed the patient and determined

14. Info FAQs | Agency for Healthcare Research and Quality
    www.ahrq.gov/faqs/index.html?page=6
    October 01, 2020 - Where can I obtain the Emergency Severity Index (ESI) Triage Tool and DVD? … Print copies of the ESI Triage Tool and other ESI materials are no longer available. … PDFs of the ESI materials can be downloaded from the AHRQ website at https://www.ahrq.gov/professionals … /systems/hospital/esi/ . … The videos linked on the ESI page are the videos that were formerly available on the DVD.

15. Implementation of an ED Passive Tracking System Using a Business Process Approach (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/2006LaskowskiJones_051711comp2.pdf
    June 01, 2005 - core” areas in 2004 (now 76 treatment rooms) • Frequent overcrowding-- at times 40-50 patients at triage … ra g e L O S ( h :m m ) Volume LOS Admitted Pts Linear (Volume) Linear (LOS Admitted Pts) ESI … ED at any given time • Ability to anticipate inpatient bed demand via predictive capabilities of ESI … contamination/ infectious agents available • Quick sort by acuity in emergency & mass casualty events (ESI … triage acuity levels displayed in EDTracker™) • ED Staff satisfaction high: No nursing vacancies!

16. Section 5. Preparing to Launch | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ptflow/section5.html
    July 01, 2018 - Educating the nursing staff on Emergency Severity Index (ESI) triage procedures so that mid-acuity patients … several followup tasks, including ordering a permanent welcome sign for the waiting room; planning ESI … To implement the five-level ESI triage system at Hahnemann University Hospital, a committee of nine nurses … After ESI was fully implemented, nurse leaders devoted additional time auditing cases and conducting … Also, two nurses attended a train-the-trainer triage course ($16,850). Large expenditures.

17. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/850450/psn-pdf
    June 14, 2023 - , the patient was placed on a gurney in the hallway next to the triage station at 1650. … psychiatric inpatient admission to manage “crisis” presentations.3-5 The Emergency Severity Index (ESI … that US hospitals use to categorize and prioritize care for emergency patients who have been triaged: ESI … immediately life- threatening conditions like cardiac arrest, blunt trauma, seizure, and choking, while ESI … complaint (and all those likely to be eventually placed on a psychiatric commitment order) are triaged as ESI

18. The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department. | PSNet
    psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
    September 27, 2023 - , the patient was placed on a gurney in the hallway next to the triage station at 1650. … psychiatric inpatient admission to manage “crisis” presentations. 3-5 The Emergency Severity Index (ESI … that US hospitals use to categorize and prioritize care for emergency patients who have been triaged: ESI … immediately life-threatening conditions like cardiac arrest, blunt trauma, seizure, and choking, while ESI … complaint (and all those likely to be eventually placed on a psychiatric commitment order) are triaged as ESI

19. Cognitive biases regarding utilization of Emergency Severity Index among emergency nurses. | PSNet
    psnet.ahrq.gov/issue/cognitive-biases-regarding-utilization-emergency-severity-index-among-emergency-nurses
    December 21, 2016 - Emergency department triage nurses use their knowledge, experience, expertise, and critical thinking … This study sought to identify cognitive biases that may negatively impact nurses' triage decision making … In a scenario describing a patient at Emergency Severity Index (ESI) level 1, the highest level, only … 51% of nurses selected the cognitively unbiased triage response. … for adult patients visiting an interdisciplinary emergency care center and the safety of patient self-triage

20. Section 2. Forming a Patient Flow Team | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ptflow/section2.html
    July 01, 2018 - University Hospital in Philadelphia, PA, chose to implement the five-level Emergency Severity Index (ESI … ) triage system as part of their participation in the UMLN II. … The assistant director felt strongly that it would be easier to communicate and implement ESI to the … Available at http://www.ahrq.gov/professionals/systems/hospital/esi/index.html . 2. … Although some simple ED throughput strategies may affect only ED processes (e.g., implementation of ESI