Validity of the emergency severity index in predicting patient outcomes
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Validity of the emergency severity index in predicting patient outcomes
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Validity of the emergency severity index (ESI version 4) http://jnms.mazums.ac.ir
[ DOI: 10.18869/acadpub.jnms.3.1.1 ]
Journal of Nursing and Midwifery Sciences 2016: 3(1): 1-7.
Original article
Validity of the emergency severity index in predicting patient outcomes in a major emergency department Faramarz Pourasghar1, Jafar Sadegh Tabrizi2, Alireza Ala3, Mohammad Asghari Jafarabadi4, Amin Daemi5,* (Received: 4 Dec 2015; Accepted: 1 Feb 2016)
Abstract
Downloaded from jnms.mazums.ac.ir at 7:35 +0430 on Sunday June 11th 2017
Background and Purpose: The emergency severity index (ESI) triage system has been recommended by the Ministry of Health to classify patients at emergency departments. This study aimed to assess the validity of ESI system (version 4) in the emergency department of a teaching hospital. Outcome measures were hospitalization, emergency department (ED) length of stay, resource consumption, in-hospital mortality, and patient service costs. Methods: In this retrospective cross-sectional study, medical records of 562 ED patients were reviewed to determine the ESI level and outcome measures in April 2013. Possible correlations were assessed using Phi and Cramer's V and Spearman's Rho. Data analysis was performed in SPSS V.16, and P value of 0.05 was considered significant. Results: In this study, frequency of five ESI levels (1-5) was 24, 14, 365, 158 and 0, respectively. In addition, Phi and Cramer’s V for hospitalization and mortality were 0.350 (P
