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The Emergency Severity Index (ESI) is a five-level emergency department triage algorithm, initially developed in 1998 by emergency physicians Richard Wurez and David Eitel. [1] It was previously maintained by the Agency for Healthcare Research and Quality (AHRQ) but is currently maintained by the Emergency Nurses Association (ENA).
Most HEDIS data is collected through surveys, medical charts and insurance claims for hospitalizations, medical office visits and procedures. Survey measures must be conducted by an NCQA-approved external survey organization. Clinical measures use the administrative or hybrid data collection methodology, as specified by NCQA.
An early warning system (EWS), sometimes called a between-the-flags or track-and-trigger chart, is a clinical tool used in healthcare to anticipate patient deterioration by measuring the cumulative variation in observations, most often being patient vital signs and level of consciousness. [1]
In emergency situations, the incident commander has the ability to waive certain policies and procedures in order to assure that immediate assistance is rendered to all patients coming into the hospital. This allows the hospital to handle a surge in patients and render life-saving care to the greatest number of patients. FEMA, (2004).
Valderas JM, Alonso J. Patient reported outcome measures: a model-based classification system for research and clinical practice. Qual Life Res. 2008; 17: 1125–35. Wiklund I., Assessment of patient-reported outcomes in clinical trials: the example of health-related quality of life, Fundam Clin Pharmacol. 2004 Jun;18(3):351-63.
Architecture of IPAWS. The program is organized and funded by the Federal Emergency Management Agency (FEMA), an agency of the Department of Homeland Security. [4] The system allows for alerts to be originated by Federal, State, local and tribal officials, and subsequently disseminated to the public using a range of national and local alerting systems including EAS, CMAS and NWR. [5]
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