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December 8, 2025Blood

Closing the gap in vaso-occlusive episode triage for sickle cell patients: A quality improvement initiative

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Authors

CGChristopher GriggsDJDaniella James

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Overview

Quality improvement initiative enhanced pain management triage in sickle cell disease patients, suggesting better ED care delivery.

Key Points

  • This initiative aimed to enhance triage processes for sickle cell disease patients during vaso-occlusive episodes.
  • Retrospective analysis of ESI levels assigned to SCD patients from January 2024 to July 2025.
  • Implemented targeted education for triage clinicians including training modules and symptom checklists.
  • Compared ESI Level 2 triage rates before and after the educational intervention.
  • Out of 4237 encounters, ESI Level 2 assignments improved from 41% to 61% following targeted education.
  • Statistically significant improvement with a p-value of 0.000004 in ED care delivery for VOE triage.
  • Nine EDs continued to assign higher rates of ESI 3 to SCD patients over ESI 2, indicating ongoing disparities.

Cite This Study

Griggs et al. (2025) studied this question.

synapsesocial.com/papers/69362f7f4fa91c937236e59ehttps://doi.org/10.1182/blood-2025-6154
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