Assessment and validity assessment of the Emergency Severity Index risk classification model for under 18 years
Keywords:Nursing; Triage; Emergency medical services; Pediatrics; Pediatric Emergency Medicine.
Objective: The aim of this study was to evaluate the safety and validity of the ESI risk classification model already used in the emergency care service of a ready care unit 24 hours of Canoas/RS for children under 18 years of age. Method: For this, a quantitative research was applied, with an analytical approach, which was divided into two phases, the first in the data collection in the service bulletins, and the second in the test with the internal and external nurses to the service. We analyzed the level of classification attributed in each care, resource consumption, length of stay in the service, transfer to hospitalization and death. Results: They showed weaknesses in the application of the risk classification, with elevation of the classification level in relation to the posterior medical procedure. There were also discrepancies in the classification of the same case by different nurses. Conclusion: The evaluation of the data results in the contribution to improve the knowledge and skills of the nurses in the use of the scale, in addition to qualifying the work process and conferring benefits to the user.
Arrué, A.M., Neves, E.T., Buboltz, F.L., Jantsch, L.B.M., Zanon, B.P. (2013). Demanda de um pronto-socorro pediátrico: caracterização dos atendimentos de enfermagem. Revista de Enfermagem UFPE. 7(4), 1090-1097.
Feijó, V.B.E.R., Cordoni Junior, L., Souza, R.K.T., Dias, A.O. (2015). Análise da demanda atendida em unidade de urgência com classificação de risco. Saúde Debate. 39(106), 627-636.
Gilboy, N., Tanabe, P., Travers, D., Rosenau, A.M. (2011). Emergency Severity Index (ESI): A Triage Tool for Emergency Department Care (Version 4). Implementation Handbook 2012 Edition. Rockville, MD: AHRQ, 2011.
Gerhardt, T.E., Silveira, D.T. (2009). Métodos de Pesquisa. (1ª ed.). Porto Alegre: Editora da UFRGS, 2009.
Green, N.A., Durani, Y., Brecher, D., DePiero, A., Loiselle, J., Attia, M. (2012). Emergency Severity Index Version 4 A Valid and Reliable Tool in Pediatric Emergency Department Triage. Pediatric Emergency Care. 28(8), 753-757.
Jafari Rouhi, A.H., Sardashti, S., Taghizadieh, A., Barzegar, M. (2013). The Emergency Severity Index, version 4, for pediatric triage: a reliability study in Tabriz Children’s Hospital, Tabriz, Iran. International Journal of Emergency Medicine. 6(1), 36.
MAGALHÃES-BARBOSA, M. C. DE et al. CLARIPED: Um novo instrumento para classificacão de risco em emergências pediátricas. Revista Paulista de Pediatria (English Edition), v. 34, n. 3, p. 254-262, 2016.
Mistry, B., Ramirez, S.S., Kelen, G., Schmitz, P.S.K., Balhara, K.S., Levin, S., Martinez, D., Psoter, K., Anton, X., Hinson, J.S. (2017). Accuracy and Reliability of Emergency Department Triage Using the Emergency Severity Index: An International Multicenter Assessment. Annals of Emergency Medicine, 71(6), 581-587.
Raposo-do-Amaral, C.A. (2013). Uso do retalho miomucoso do músculo bucinador bilateral para o tratamento de insuficiência velofaríngea: avaliação preliminar. Revista Brasileira de Cirurgia Plástica, 28(3), 455-461.
Singer, R.F., Infante, A.A., Oppenheimer, C.C., Siegel, B. (2012). The Use of and Satisfaction with the Emergency Severity Index. Journal of Emergency Nursing. 38(2), 120-126.
Souza, C.C., Toledo, A.D., Tadeu, L.F., Chianca, T.C. (2011). Classificação de risco em pronto-socorro: concordância entre um protocolo institucional brasileiro e Manchester. Revista Latino Americana de Enfermagem. 19(1),1-8.
Travers, D.A., Waller, A.E., Katznelson, J., Agans, R. (2009). Reliability and validity of the emergency severity index for pediatric triage. Academic Emergency Medicine.16(9), 843-849.
Viola, D.C.M., Cardioli, E., Pedrotti, C.H.S., Iervolino, M., Bastos Neto, A., S., Almeida, L., R., N., Neves, H. S. S., Lottenber, C.L. (2014). Unidades avançadas: medidas de qualidade no atendimento de urgência e emergência. Revista Einstein. 12(4),492-8.
Weykamp, J.M., Pickersgill, C.S., Cecagno, D., Vieira, F.P., Siqueira, H.C.H. (2015). Acolhimento com classificação de risco nos serviços de urgência e emergência: aplicabilidade na enfermagem. Revista Rene.16(3), 327-336.
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