Off-campus South Dakota State University users: To download campus access theses, please use the following link to log into our proxy server with your South Dakota State University ID and password.
Non-South Dakota State University users: Please talk to your librarian about requesting this thesis through interlibrary loan.
DNP - University Access Only
Doctor of Nursing Practice (DNP)
Emergency severity index, Simulation, Triage, Acuity assignment
Introduction: Wrongful acuity assignment in triage can impact the emergency department by lengthening patient wait times before seeing a healthcare provider. This can lead to poor patient outcomes. Emergency nurses need high quality education in acuity assignment to prevent mistriage. Methods: In this practice improvement project, emergency nurses (n= 49) participated in simulation scenarios to practice using the emergency severity index triage system. Retrospective chart audits were completed by the project coordinator pre- and post-intervention to evaluate whether mistriage rates improved. Results: Emergency nurses who participated in the simulation training were primarily registered nurses with a bachelor’s degree (n= 30, 58%), and most had between 1 and 5 years of emergency department experience (n= 25, 47%). Pre-intervention, 304 patient charts were audited with a mistriage rate of 16.23%. Post-intervention, 312 charts were audited with a mistriage rate of 6.5%. The overall reduction in mistriage was 9.73%, which was statistically significant (p < 0.001). Discussion: Based on results from this practice improvement project, the emergency nurses were able to more accurately assign acuity levels to patients in triage following simulation scenarios to practice using the emergency severity index triage system. The decrease in mistriage rates also indicated that simulation was an effective method for acuity assignment training.
Library of Congress Subject Headings
Hospitals -- Emergency services.
Number of Pages
South Dakota State University
Copyright © 2019 Amber FIscher
Fischer, Amber, "Reducing Mistriage Rates in the Emergency Department through Emergency Severity Index Training" (2019). Doctor of Nursing Practice (DNP) Practice Innovation Projects. 126.