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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Robin Arends


Background: Triage can be an important tool to quickly survey patients in the emergency setting. Inaccurate acuity designations can result in delays of care, potential deterioration, and potential financial loss for healthcare facilities.
Methods: Emergency nurses were given education opportunities through lectures. Triage case simulations were used to reinforce knowledge. The Emergency Severity Index was outlined as the practice standard in policy. Pre-case simulation chart reviews were conducted to determine pre-intervention mistriage rates. Post-case simulation chart reviews were conducted to determine mistriage rates.
Results: Case study scores from 31 RNs were evaluated using the Wilcoxon Matched- Pairs Signed Rank Test. Mistriage rates on pre- and post-intervention case studies yielded a calculated p-value of 0.021. Correct responses pre- and post-intervention on case studies yielded a calculated p-value of 0.033. Post-intervention mistriage rates from 89 retrospective chart reviews were assessed using the Mann-Whitney U-Test. A p-value of 0.194 was calculated concluding that there was not a statistical significance in mistriage rates despite a 10.7% decrease.
Discussion: Staffing shortages or staff turnover rates was seen as a potential barrier to the implementation of this project.
Implications for Practice: Continuing education and monitoring will be needed to maintain accurate triage rates and nursing confidence.


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