Effect of Emergency Severity Index Annual Competency Assessment on Mistriage

Video Author:Hoffman, Stefanie DNP, APRN, CNP, CEN; Voss, Jo A. PhD, RN, CNS; Hendrickx, Lori EdD, RN, CCRN, CNL; Gibson, Nicole DNP, CNP, FNP-BC

Published on:November 02, 2022

There is limited evidence identifying best practices to promote competency of accurate assignment of the Emergency Severity Index (ESI) acuity level to patients who present to the emergency department (ED) triage.
A retrospective chart review of 150 patients showed no statistically significant difference in mistriage rates from before and after triage trained nurses completed an ESI competency assessment. Implementation of an ESI annual competency assessment aligns well with an emerging theme in the literature that ED nurses should be provided with ongoing education that reinforces knowledge and implementation of ESI triaging.