Skip to main content

Table 2 Comparison of triage document cohorts by American Academy of Ambulatory Care Nursing (AAACN) triage documentation criteria and triage document content

From: Clinical decision support improves quality of telephone triage documentation - an analysis of triage documentation before and after computerized clinical decision support

Triage content measures

Cohort means (SD, median) CDS = clinical decision support

Cohort differences (p value) [CI 95%]

 

CDS (N = 50)

PreCDS (N = 50)

No CDS (N = 50)

CDS – PreCDS

CDS -no CDS

No CDS- PreCDS

Modified AAACN criteria

      

Encounter characteristics (of maximum 4)

2.88 (0.32, 3)

2.16 (0.37, 2)

2.10 (0.3, 2)

0.72 (<.0001) [0.58 to 0.86]

0.78 (<.0001) [0.65 to 0.91]

−0.06 (0.38) [−0.2 to 0.07]

Patient characteristics (of maximum 6)

3.74 (0.69, 4)

3.92 (0.80, 4)

3.58 (0.73, 3)

−0.18 (0.23) [−0.48 to 0.12]

0.16 (0.26) [−0.12 to 0.44]

−0.34 (0.03) [−.65 to −0.04]

Contact characteristics (of maximum 3)

1.86 (0.99, 1)

1.5 (0.54, 1)

1.14 (0.45, 1)

0.36 (0.03) [0.04 to 0.68]

0.72 (<.0001) [0.41 to 1.0]

−0.36 (0.0005) [−.56 to −0.16]

Reason for call (of maximum 4)

3.08 (0.27, 3)

3.0 (0.29, 3)

2.96 (0.57, 3)

0.08 (0.16) [−0.03 to 0.29]

0.12 (0.184) [−0.05 to 0.30]

−0.04 (0.66) [−0.48 to 0.36]

Nursing actions (of maximum 6)

3.9 (0.58, 4)

2.58 (1.0, 3)

2.52 (1.1, 2)

1.32 (<.0001) [0.99 to 1.65]

1.38 (<.0001) [1.0 to 1.7]

−0.06 (0.78) [−0.48 to 0.36]

Post triage disposition (of maximum 4)

2.0 (0, 2)

1.38 (0.70, 1.5)

0.88 (0.82, 1)

0.62 (<.0001) [0.42 to 0.82]

1.12 (<.0001) [0.89 to 1.4]

−0.5 (0.0015) [−0.8 to −0.20]

Triage note content

      

Symptom items documented

36.7 (14.3, 36)

10.7 (5.1, 10)

10.2 (6.9, 9. 8)

26.0 (<.0001) [21.8 to 31.4]

26.5 (<.0001) [22.1 to 31.0]

−0.5 (0.68) [ −2.9 to 1.9]

Care points documented

2.79 (2.37, 3)

0.26 (0.7, 0)

0.44 (1.58, 0)

2.53 (<.0001) [1.8 to 3.2]

2.35 (<.0001) [1.6 to 3.2]

0.24 (0.46) [−0.3 to 0.7]

Warning signs documented

1.29 (2.3, 0.33)

0.2 (0.9, 0)

0.01 (0.07, 0)

1.08 (0.0029) [0.8 to 1.4]

1.27 (0.0003) [0.6 to 1.9]

−0.19 (0.16) [−0.5 to 0.08]