[ANSWER]NUR342 Evıdence-Based Health Research and Practıce Assessment 3: Critique of the Literature

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Health Research and Practıce Assessment:] Before the implementation of the ESI intervention, the average LOS for all medical complaints was 2.58 hours. After the implementation of the intervention, this figure was 2.43 hours, representing a 5.9% reduction in just 6 months. For the 12 most common medical complaints, which accounted for approximately of all visits to the ED at the time, the reduction in LOS ranged from 9-18%. This study demonstrates that the ESI can be moderately effective in reducing ED LOS for a wide variety of medical complaints.[Health Research and Practıce Assessment]

The strength of the study emanates not only from the large sample used, but also the fact that it compared LOS before and after ESI implementation. Nevertheless, the study was conducted in only a single ED facility, diminishing its generalisability beyond the study setting. Even so, the study demonstrates that the adoption of the ESI tool in patient triaging can help in reducing LOS in ED settings. 

Maleki, M., Fallah, R., Riahi, L., Delavari, S., & Rezaei, S. (2015). Effectiveness of five-level emergency severity index triage system compared with three-level spot check: An Iranian experience. Archives of Trauma Research, 4(4), e2914. doi:10.5812/atr.29214 In this study, Maleki et al. report the findings of a quasi-experimental study they conducted to compare the impact of the ESI…: [Buy Full Answer for Just USD 9: 2084 WORDS][Health Research and Practıce Assessment]

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