Implementing the Emergency Severity Index Triage System in the Homeland of Hippocrates

2005 ◽  
Vol 31 (5) ◽  
pp. 428 ◽  
Author(s):  
Maria Kyranou ◽  
Athansia Chouta ◽  
Georgios Georgiadis ◽  
Dimitris Oulousidis ◽  
Anastasia Tsiviki
Keyword(s):  
Severity Index ◽  
Emergency Severity Index ◽  
Triage System

The Emergency Severity Index (version 3) 5-Level Triage System Scores Predict ED Resource Consumption

2004 ◽  
Vol 30 (1) ◽  
pp. 22-29 ◽  
Author(s):  
Paula Tanabe ◽  
Rick Gimbel ◽  
Paul R Yarnold ◽  
James G Adams
Keyword(s):  
Severity Index ◽  
Resource Consumption ◽  
Emergency Severity Index ◽  
Triage System

scholarly journals Emergency Severity Index Triage System Correlation with Emergency Department Evaluation and Management Billing Codes and Total Professional Charges

2011 ◽  
Vol 18 (11) ◽  
pp. 1161-1166 ◽  
Author(s):  
Jennifer L. Wiler ◽  
Robert F. Poirier ◽  
Heather Farley ◽  
William Zirkin ◽  
Richard T. Griffey
Keyword(s):  
Emergency Department ◽  
Severity Index ◽  
Emergency Severity Index ◽  
Triage System ◽  
Department Evaluation

scholarly journals Validity and Reliability of the Emergency Severity Index in a Spanish Hospital

2019 ◽  
Vol 16 (22) ◽  
pp. 4567
Author(s):  
Luis Cairós-Ventura ◽  
Maria de las Mercedes Novo-Muñoz ◽  
José Rodríguez-Gómez ◽  
Ángela Ortega-Benítez ◽  
Elena Ortega-Barreda ◽  
...  
Keyword(s):  
Predictive Value ◽  
Severity Index ◽  
Criterion Validity ◽  
Negative Consequences ◽  
Validity And Reliability ◽  
Kappa Index ◽  
Emergency Severity Index ◽  
Hospital Emergency ◽  
Triage System ◽  
La Palma

Saturation in hospital emergency departments is one of the main safety problems for the patient, which can generate negative consequences for their health. In response to this issue, triage systems are developed to organize the flow of patients in order to allow the most urgent ones to be treated first. The Emergency Severity Index (ESI) is the most used triage system in the USA and it has been implemented in the General Hospital of La Palma since 2010. The objective of this study is the validation of the ESI adapted to our hospital through the study of its degree of reliability, as well as the criterion validity. The sample consisted of 240 randomly selected cases, with proportional representation of emergencies attended in 2015 and their fraction of urgent ones (Levels 1 and 2). Criterion validity was estimated by sensitivity, specificity, and predictive result values. For reliability, the degree of agreement among the nurses was studied by means of the adapted kappa index kc2. Criterion validity showed a sensitivity of 89% (85–93%) and a specificity of 97% (94–99%), with a positive predictive value of 68% (62–74%) and a negative predictive value of 99% (98–100%) for the discrimination of urgent cases. The reliability analysis showed a kc2 = 0.94 (0.84–0.99) index, a very good agreement according to Landis-Koch criteria. The results of our study have shown adequate validity and reliability in the adaptation and implementation of an ESI triage system suited to the specific conditions of a hospital emergency service in Spain.

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