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Document Type

DNP - University Access Only

Award Date

2018

Degree Name

Doctor of Nursing Practice (DNP)

Department

Graduate Nursing

First Advisor

Sheryl Marckstadt

Keywords

Emergency Department, Length of stay, Emergency Severity Index Triage

Abstract

Increases in patient visits to the Emergency Department (ED), overcrowded conditions, and prolonged lengths of stay (LOS) have been linked to poor patient outcomes, high mortality rates, and adverse patient events (Brosinski, Riddell, & Valdez, 2017; Carter, Pouch, & Larson, 2014; Centers for Disease Control [CDC], 2013). This DNP Project examined the impact of implementing the Emergency Severity Index (ESI) five-level triage system on LOS. Through an evidence-based quality improvement (EBQI) approach and retrospective two-sample independent t-test comparison, a statistically significant reduction in the median LOS time from 184 minutes to 124 minutes was achieved (p=<0.0001). This represents a 60-minute reduction overall in LOS time following triage implementation in one rural ED setting and adds to the literature that demonstrates how evidence-based standardized triage can lead to improvements in efficiency, quality outcomes, and care management.

Description

Includes bibliographical references

Format

application/pdf

Number of Pages

150

Publisher

South Dakota State University

Rights

In Copyright - Educational Use Permitted
http://rightsstatements.org/vocab/InC-EDU/1.0/

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