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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]