The emergency department sickle cell assessment of needs and strengths (ED-SCANS): Reliability and validity

Paula Tanabe*, Victoria L. Thornton, Zoran Martinovich, Knox H. Todd, Ted Wun, John S. Lyons

*Corresponding author for this work

Research output: Contribution to journalArticle

6 Scopus citations


Emergency department (ED) management of adults with sickle cell disease (SCD) is complex and frustrating. The Emergency Department Sickle Cell Assessment of Needs and Strengths (ED-SCANS) is a research-based decision support and quality improvement (QI) tool to guide management of individual patients with SCD and can also be used to guide the development of ED protocols and other QI initiatives for this population. The study evaluated ED-SCANSÊ inter-rater reliability, face and utility validity among clinicians, and construct validity of anxiety, depression, and psychiatric or social service needs among patients. ED nurses and physicians found the ED-SCANS to be useful, relevant, and easy to use. Nurse practitioners can use the ED-SCANS to assess and manage individual patients. Clinical nurse specialists can use the ED-SCANS as a framework to guide departmental QI efforts.

Original languageEnglish (US)
Pages (from-to)143-153
Number of pages11
JournalAdvanced Emergency Nursing Journal
Issue number2
StatePublished - Apr 1 2013



  • decision support
  • emergency department
  • measurement
  • quality improvement
  • sickle cell disease

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency

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