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Emergency Severity Index, Version 4

Implementation Handbook and DVDs


The Emergency Severity Index (ESI) is a five-level emergency department (ED) triage algorithm that provides clinically relevant stratification of patients into five groups from 1 (most urgent) to 5 (least urgent) on the basis of acuity and resource needs. The Agency for Healthcare Research and Quality (AHRQ) funded initial work on the ESI.

A well-implemented ESI program will help hospital emergency departments rapidly identify patients in need of immediate attention, better identify patients who could safely and more efficiently be seen in a fast-track or urgent care center rather than the main ED, and more accurately determine thresholds for diversion of ambulance patients from the ED.

The set of two DVDs, entitled Emergency Severity Index, Version 4: Everything You Need To Know, and the companion Emergency Severity Index, Version 4: Implementation Handbook, are essential resources for ensuring that your emergency department staff are well-trained in using ESI.

Select to download the Implementation Handbook.



ESI Training and Background

The set of two DVDs, entitled Emergency Severity Index, Version 4: Everything You Need To Know, and the companion Emergency Severity Index, Version 4: Implementation Handbook, are essential resources for ensuring that your emergency department staff are well-trained in using ESI.

The DVDs contain lectures and practice cases as well as written materials that can be viewed or downloaded from your PC or Mac®.

The Implementation Handbook, which can be used alone or with the DVDs, discusses the ESI and the research behind it. The handbook also includes information on:

  • The history of triage.
  • Frequently asked questions.
  • Additional practice cases.
  • Full-page as well as pocket-sized versions of the ESI Version 4 Algorithm that emergency department personnel can cut out and refer to as needed.

Download Information

Your browser may support downloading the Implementation Handbook from this page by usingthe links below. Right click on the link and then select "Save Target As" (Internet Explorer) or "Save Link As" (Netscape®).

Where To Obtain Copies of the DVDs and Handbook

The DVD set, Emergency Severity Index, Version 4: Everything You Need To Know, (AHRQ Publication No. 05-0046-DVD) and print copies of the spiral-bound Implementation Handbook (AHRQ Publication No. 05-0046-2) can be obtained by contacting:

AHRQ Publications Clearinghouse
Phone: 1-800-358-9295
E-mail: AHRQPubs@ahrq.hhs.gov

You may request 1 free copy of both the DVD set and the Implementation Handbook.

Where To Obtain Additional Information

For ESI Version 4 algorithm content and research-related questions, please E-mail: esitriage@yahoo.com.

To receive copies of the DVDs and Handbook, please contact the AHRQ Publications Clearing house directly at the phone number or E-mail address above. For more information about the AHRQ program that supported the development of these products, please contact:

Kendall K. Hall, MD, MS, FACEP
Medical Officer, Patient Safety Portfolio
Center for Quality Improvement and Patient Safety
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville, MD 20850
Phone: (301) 427-1333
Fax: (301) 427-1341
E-mail: Kendall.Hall@ahrq.hhs.gov

AHRQ Publication No. 05-0046-2
Current as of May 2005


Internet Citation:

Gilboy N, Tanabe P, Travers DA, Rosenau AM, Eitel DR. Emergency Severity Index, Version 4: Implementation Handbook. AHRQ Publication No. 05-0046-2, May 2005. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/esi/


 

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