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<p><strong>You Are Here:</strong> <span class="crumb_link"><a href="/" class="crumb_link">AHRQ Home</a> > <a href="/qual/" class="crumb_link">Quality Assessment</a> > <a href="/qual/measurix.htm" class="crumb_link">Measuring Healthcare Quality</a> > Emergency Severity Index, Version 4 </span></p>
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<td><h1><a name="h1" id="h1"></a>Emergency Severity Index, Version 4</h1>
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<h2>Implementation Handbook and DVDs</h2>
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<hr />
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<p>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.</p>
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<p> 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.</p>
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<p>The set of two DVDs, entitled <em>Emergency Severity Index, Version 4: Everything
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You Need To Know</em>, and the companion <em>Emergency Severity Index, Version 4: Implementation Handbook</em>, are essential resources for ensuring that your emergency department staff are well-trained in using ESI.</p>
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<p>Select to <a href="#download">download</a> the Implementation Handbook.</p>
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<hr /><br />
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<h2>ESI Training and Background</h2>
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<p>The set of two DVDs, entitled <em>Emergency Severity Index, Version 4: Everything You Need To Know</em>, and the companion <em>Emergency Severity Index, Version 4: Implementation Handbook</em>, are essential resources for ensuring that your emergency department staff are well-trained in using ESI.</p>
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<p>The DVDs contain lectures and practice cases as well as written materials that can be viewed or downloaded from your PC or Mac®.</p>
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<p>The <em>Implementation Handbook</em>, which can be used alone or with the DVDs, discusses the ESI and the research behind it. The handbook also includes information on:</p>
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<ul>
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<li>The history of triage.</li>
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<li>Frequently asked questions.</li>
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<li>Additional practice cases.</li>
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<li>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.</li>
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</ul><br />
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<a name="download" id="download"></a><h2>Download Information</h2>
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<p>Your browser may support downloading the <em>Implementation Handbook</em> from this page by usingthe links below. Right click on the link and then select "Save Target As" (Internet Explorer). </p>
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<ul>
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<li><a href="esi1.htm"><em>Emergency Severity Index Implementation Handbook</em></a> (<a href="esihandbk.pdf">PDF File</a>, 444 KB; <a href="/pdfhelp.htm">PDF Help</a>).</li></ul>
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<a id="copies" name="copies"></a>
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<h2>Where To Obtain Copies of the DVDs and Handbook</h2>
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<p>The DVD set, <em>Emergency Severity Index, Version 4: Everything You Need To Know</em>,
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(AHRQ Publication No. 05-0046-DVD) and print copies of the spiral-bound <em>Implementation Handbook</em> (AHRQ Publication No. 05-0046-2) can be obtained by contacting:</p>
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<p>AHRQ Publications Clearinghouse<br />Phone: 1-800-358-9295<br /> E-mail: <a href="mailto:ahrqpubs@ahrq.hhs.gov">AHRQPubs@ahrq.hhs.gov</a></p>
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<p>Order from <a href="https://ahrqpubs.ahrq.gov/OA_HTML/ibeCCtpItmDspRte.jsp?section=10203&item=17404">Publications Online Store.</a></p>
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<p>You may request 1 free copy of both the DVD set and the <em>Implementation Handbook</em>. </p>
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<h2>Where To Obtain Additional Information</h2>
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<p>For ESI Version 4 algorithm content and research-related questions, please E-mail: <a href="mailto:esitriage@yahoo.com">esitriage@yahoo.com</a>. </p>
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<p><strong>To receive copies of the DVDs and Handbook, please contact the AHRQ Publications Clearinghouse directly at the phone number or E-mail address above.</strong> For more information about the AHRQ program that supported the development of these products, please contact:</p>
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<p> Center for Quality Improvement and Patient Safety<br />Agency for Healthcare Research and Quality
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<br />
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540 Gaither Road<br />
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Rockville, MD 20850<br />
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</p>
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<p class="size2"><em>AHRQ Publication No. 05-0046-2<br />
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Current as of May 2005</em></p>
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<hr />
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<p class="size2"><strong>Internet Citation:</strong></p>
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<p class="size2">Gilboy N, Tanabe P, Travers DA, Rosenau AM, Eitel DR. <em>Emergency Severity Index, Version 4: Implementation Handbook</em>. AHRQ Publication No. 05-0046-2, May 2005. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/research/esi/</p>
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