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Relias ED

Relias ED (formerly GNOSIS™) is an assessment, education, and analytics tool that transforms how doctors and nurses learn though the power of data

Improve the Quality of Care and Mitigate the Risk of an Adverse Event in the High-Risk Area of the Emergency Department

There are 136 million emergency department (ED) visits every year in the US. Risk in the ED is high because physicians and nurses encounter a broad range of problems, often with atypical presentations, in a fast-paced and dynamic environment.

The ED is a large source of malpractice claims as a result of failed or delayed diagnoses, improper assessment, and breakdown in communication. Relias ED addresses these areas of risk through targeted and timely training, education, and analytics.

Assess Proficiency

Measure clinicians' knowledge and judgment through a validated assessment

Measure Learning

Deliver a personalized learning path prioritized by learning needs

Mitigate Risk

Utilize user-friendly analytics to identify opportunities for improvement

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Focuses on the Highest Areas of Risk in the ED

Relias ED is built upon and substantiated by peer-reviewed literature, adverse event datasets, and medical malpractice claims. Designed to improve patient care teams, the GNOSIS courses offer nurses and providers evidence-based content to ensure ED teams are using commonly-understood protocols and language to minimize misunderstandings and errors. The courses are focused in the following highest areas of risk in the ED:

  • High Risk Abdominal Pain in the ED
  • High Risk Chest Pain in the ED
  • Communication in the ED
  • Nursing Triage in the ED
  • Pediatric Fever without a Source
  • Sepsis for Emergency Nurses
Emergency Medicine Team

Designed for Emergency Department Teams

With Relias ED, hospital leaders receive clinical proficiency data to identify areas of improvement that can reduce the risk of an adverse event. Clinicians master learning in critical risk areas to improve quality and consistency of care.

  • Physicians and Nurses in the ED
  • Directors of Emergency Medicine
  • Risk Managers
  • Quality Officers

Course 1: High Risk Abdominal Pain in the Emergency Department

A detailed program on triage, evaluation, and critical thinking of abdominal pain and accurate diagnosis. Topics include testicular torsion, appendicitis, diverticulitis, pancreatitis, cholecystitis, vascular abdominal emergencies, and high-risk gynecological etiologies.

Learning Outcomes

  • Triage and differential diagnosis of undifferentiated abdominal pain: presentation, risk factors and pitfalls, with emphasis on special populations
  • Life threatening and high morbidity abdominal and pelvic pain: Gynecologic emergencies
  • Life threatening abdominal pain: Vascular emergencies
  • Life threatening and high morbidity abdominal and pelvic pain: Extra-abdominal and inflammatory surgical emergencies (testicular torsion, appendicitis, diverticulitis)
  • Life threatening and high morbidity abdominal pain: Bowel perforation, obstruction, and volvulus
  • Life threatening and high morbidity abdominal pain: pancreatitis and cholecystitis
  • Cognitive bias: Hazard and risk in emergency medicine

Course 2: High Risk Chest Pain in the Emergency Department

A thorough review of how to utilize the history, exam,diagnostic studies, and decision rules to evaluate and diagnose patients with chest pain. Content includes recognizing ECG patterns, avoiding evaluation, workup and diagnosis pitfalls, and avoiding cognitive bias.


Learning Outcomes

  • Risk factors and pitfalls in the triage and assessment of patients with undifferentiated chest pain
  • Life threatening causes of chest pain: epidemiology, pathophysiology, presentation and initial management of aortic dissection, pulmonary embolism, cardiac tamponade, esophageal rupture and gastric volvulus
  • Life threatening causes of chest pain: acute coronary syndrome
  • ECG and typical and unusual appearances of STEMI, NSTEMI, and mimics of STEMI

Course 3: Communication in the Emergency Department

A collaborative approach to best practices and theories of action for maximizing communication between clinicians in the emergency department. Content includes optimal communications around family notifications, discharges, handoffs, and transfers.

Learning Outcomes

  • Improve team coordination of care by examining the pitfalls and solutions to team communication in regards to acuity cases, consults, and crisis resources
  • Improve emergency department handoffs and transfers by identifying challenges and opportunities, studying common errors, and learning effective models
  • Improve emergency department communication with patients and families to facilitate satisfaction and promote understanding especially during discharge, notification of bad news, and other special circumstances

Course 4: Nursing Triage in the Emergency Departments

A comparative examination of the most common emergency department triage systems. Content includes improving outcomes with triage innovation, assessing patients using a 5-level system, and triage for special populations.


Learning Outcomes

  • 5-level triage systems
  • Pitfalls and barriers to effective and accurate triage in the emergency department
  • Life threatening conditions requiring immediate and emergent triage in the emergency department
  • Triage for urgent / semi-urgent / non-urgent patients in the emergency department
  • Triage of special populations: pediatrics and behavioral health patients

Course 5: Pediatric Fever without a Source

An examination of principles behind the evaluation and management of fever in pediatric patients. Content includes basic immunology and physiology of fever, epidemiology of febrile illness and evidence supporting clinical practice guidelines in this population.

Learning Outcomes

  • Understand basic immunology of the neonate and the development of fever in the neonate through toddler years
  • Understand the epidemiology and presentation of serious bacterial infections in the neonate, infant, and toddler
  • Develop a rational approach to the evaluation and management of fever in the neonate, infant, and toddler through evidence-based data
  • Develop an understanding of early signs of deterioration in the neonate, infant, and toddlers who present with a fever without a source
  • Understand the early management of hemodynamically unstable neonates, infants and toddlers who present with sepsis physiology

Course 6: Sepsis for Emergency Nurses

Designed for Registered Nurses to identify, treat, and defeat sepsis and reduce risk for hospital acquired infections. Content includes 17 cases to help RNs refine assessment and treatment techniques to effectively manage complex health issues that often accompany sepsis.


Learning Outcomes

  • Understand the definition, pathophysiology, risk factors, and mortality associated with sepsis
  • Identify the symptoms of sepsis, co-morbidities that increase risk, and importance of triage system
  • Review diagnostic tools used in diagnosis of sepsis, including bedside evaluation, SOFA score, laboratory studies, and multisystem response
  • Define treatment strategies including CMS 3- and 6-hour bundles, fluid resuscitation, antibiotic therapy, and use of vasoactive medications 
  • Review important care measures for ongoing management of sepsis, such as observation of vital signs, fluid status, urine output, serum lactate, pharmacologic therapy, source control and interventions to minimize risk of hospital-acquired infections

Are you ready to explore Relias ED for your hospital?

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ACCME Accreditation

ACCME AccreditedRelias is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. APS designates this enduring material for a maximum of AMA PRA Category 1 Credit(s)™ as cited above. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


ANCC Accreditation

ANCC AccreditedThis activity is provided by Relias. Relias is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Provider approved by the California Board of Registered Nursing, Provider # CEP-16168 for Contact Hours as cited above. Participants who complete this activity in its entirety will be awarded contact hour(s) as cited above.