Trial reportJournal of emergency nursing2021
System Level Informatics to Improve Triage Practices for Sickle Cell Disease Vaso-Occlusive Crisis: A Cluster Randomized Controlled Trial.
Trial report in Journal of emergency nursing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
7 citing papers in PubMed, 9 citations in OpenAlex.
- Operational Factors Associated With National Guideline Adherence to Vaso-Occlusive Crisis Management in the Emergency Department.Journal of the American College of Emergency Physicians open · 2026Article
- Published Approaches to Improving Timeliness of Care for People with Sickle Cell Disease in the United States: A Scoping Review.Journal of racial and ethnic health disparities · 2026Review
- Effect of nurse informatics on medication errors, patients' satisfaction, and quality patient care - A systematic review and metanalysis.Journal of education and health promotion · 2026Review
- Use of Emergency Severity Index 2 reduces time to first analgesia in sickle cell disease vaso-occlusive crisis.Blood advances · 2025Article
- Nursing informatics and patient safety outcomes in critical care settings: a systematic review.BMC nursing · 2025Article
- Roles of Pharmacists in the Management of Sickle Cell Disease in Adults: A Narrative Review.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2024Review
- Review
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundNational Heart Lung and Blood Institute guidelines for the treatment of vaso-occlusive crisis among people with sickle cell disease in the emergency department recommend assigning an emergency severity index of 2 at triage. However, patients with sickle cell disease often do not receive guideline-concordant care at triage. To address this gap, a decision support tool was developed, in the form of a text banner on the triage page in the electronic health record system, visible to triage nurses.
methodsA prospective quality improvement initiative was designed where the emergency severity index clinical decision support tool was deployed to a stratified random sample of emergency department triage nurses to receive the banner (n = 24) or not to receive the banner (n = 27), reminding them to assign the patient to emergency severity index category 2. The acceptability of the emergency severity index clinical decision support tool was evaluated with the Ottawa Acceptability of Decision Rules Instrument. Descriptive and bivariate (chi-square test) statistics were used to characterize the study's primary outcome, proportion of visits assigned an emergency severity index of 2 or higher. A generalized linear mixed model with clustering at the level of the triage nurse was performed to test the association between the banner intervention and triage practices.
resultsA total of 384 ED visits were included for analysis. Before study initiation, the percentage of sickle cell disease patients' visits with the proper emergency severity index assignment at triage was 37.04%. After initiation, the proportion of sickle cell disease patients' visits with an emergency severity index of 2 or higher triaged by nurses in the intervention group was markedly higher in the intervention group than in the control group (64.95% vs 35.05%; χ
conclusionSubstantial improvements in triage guideline concordance were achieved and sustained without direct nursing education.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.