The Relationship Between Accurate Triage and Core Measures Compliance for Acute Myocardial Infarction and Heart Failure in Older Adults Presenting to the Emergency Department.

IF 1.2 4区 医学 Q3 NURSING
Journal of nursing care quality Pub Date : 2024-04-01 Epub Date: 2023-10-02 DOI:10.1097/NCQ.0000000000000746
Lisa Wolf, Angelique Russell
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引用次数: 0

Abstract

Background: Accurate emergency department (ED) triage in the geriatric population is an important nurse-sensitive quality indicator; however, few quality indicators are verified for impact.

Purpose: To examine the relationship between triage accuracy in adults older than 65 years and Core Measures for acute myocardial infarction (AMI) and heart failure (HF).

Methods: A correlational approach was used to determine strength and direction of the relationship between variables.

Results: Strong positive correlations were found between triage accuracy and mortality for AMI and HF, as well as with 30-day hospital readmissions for AMI. A weak negative correlation was found between triage accuracy and 30-day hospital readmissions for HF.

Conclusions: Accurate triage can lead to a more effective care trajectory for patients, better adherence to Core Measures, and better outcomes. Accuracy in triage for AMI and HF is a valid indicator of ED quality care.

急诊科就诊的老年人急性心肌梗死和心力衰竭的准确分型与核心指标依从性之间的关系。
背景:老年人群急诊科(ED)的准确分诊是护士敏感的重要质量指标;然而,很少有质量指标得到影响验证。目的:研究65岁以上成年人的分诊准确性与急性心肌梗死(AMI)和心力衰竭(HF)的核心指标之间的关系。方法:采用相关方法确定各变量之间的强度和方向关系。结果:AMI和HF的分诊准确率与死亡率以及AMI的30天住院率之间存在强正相关。分诊准确率与30天HF再次入院之间存在微弱的负相关。结论:准确的分诊可以为患者带来更有效的护理轨迹、更好地遵守核心措施和更好的结果。AMI和HF分诊的准确性是ED护理质量的有效指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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