Correlation between triage nurse and physician ordering of ED tests

The American Journal of Emergency Medicine
D C Seaberg, B A MacLeod

Abstract

Triage nurse ordering of tests can reduce patient time in the emergency department. This benefit must be balanced with the extra expense and potential morbidity of unnecessary tests. This study examined whether triage nurse ordering of lab tests and X-rays correlated with physician ordering. In Phase I, a prospective study, triage nurses completed an order form for each patient triaged during randomly selected 2-hour blocks over a 3-week period. In Phase II, Phase I was repeated with test ordering guidelines derived from Phase I results. Correlations of nurse and physician orders were analyzed by kappa statistics and paired t tests. In Phase I, 176 patients were enrolled of a possible 204 (82%). In Phase II, 350 patients were enrolled of a possible 418 (84%). The percentage of nurse overordering of tests in Phase I was 35%; In Phase II, it was 34% (P NS). Kappa values were determined for blood testing (Phase I, 0.48; Phase II, 0.54 [P = .048]), for X-ray (Phase I, 0.68; Phase II, 0.65 [P = .523]), for urinalysis (Phase I, 0.76; Phase II, 0.67 [P = .338]), and for electrocardiogram (Phase I, 0.78; Phase II, 0.77 [P = .438]). The improved lab correlation in Phase II resulted from the nurses ordering fewer tests (P = .046). Nurses...Continue Reading

References

Jul 1, 1991·Journal of Clinical Pathology·M PetersP G Nightingale
Mar 1, 1990·Annals of Emergency Medicine·R W Derlet, D A Nishio
Apr 1, 1988·Postgraduate Medical Journal·D W Young
Feb 16, 1985·British Medical Journal·F G Fowkes
Sep 1, 1994·The American Journal of Emergency Medicine·D C Seaberg, R Jackson

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Citations

Mar 1, 2003·The Journal of Emergency Medicine·Michael John Matteucci, Joel Andrew Roos
Oct 3, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·S N PartoviM J Walsh
Feb 7, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·D C Seaberg
Oct 10, 2002·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Jeanine TambimuttuAndrea Marshall
Jun 23, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Brian H RoweBrian R Holroyd
Jun 27, 2009·Annals of Emergency Medicine·Jennifer L WilerDiana Fite
Feb 15, 2001·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·M Fry
Feb 8, 2003·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Robert M KecBarnet Eskin
Jun 15, 2007·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Ahmed Abdel-Khalek, David Lester
Jan 10, 2021·The Journal of Emergency Medicine·Michael GottliebJesse A Guittard
Jun 15, 2021·AEM Education and Training·Maxwell JenAlisa Wray

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