Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Emergency triage: comparing a novel computer triage program with standard triage.

Sandy L Dong1, Michael J Bullard, David P Meurer

  • 1Department of Emergency Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
|June 3, 2005
PubMed
Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Emergency department overcrowding: a CAEP position statement.

CJEM·2026
Same author

Risk of unintentional injury in children with a parent with a diagnosed mental illness in Alberta, Canada.

Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention·2026
Same author

Sex-based and gender-based details in accelerated diagnostic protocol implementation among emergency department patients presenting with chest pain: a systematic review.

Emergency medicine journal : EMJ·2026
Same author

Implementation of long-term noninvasive positive airway pressure therapy in patients with COPD: a systematic review and meta-analysis of acceptance and adherence.

European respiratory review : an official journal of the European Respiratory Society·2026
Same author

Comparison of univariate and multivariate spatial scan statistics in detecting geographic clusters of croup cases in Alberta.

International journal of health geographics·2026
Same author

Under-Investigation and Delays Experienced by Females Presenting with Chest Pain to Emergency Departments: A Study of Five Linked Canadian Hospitals.

The Journal of emergency medicine·2026

Emergency department (ED) triage tools showed better agreement with expert panels than memory-based nurse triage. Computerized decision support can improve patient prioritization accuracy in live ED settings.

Area of Science:

  • Emergency Medicine
  • Health Informatics
  • Clinical Decision Support

Background:

  • Emergency department (ED) triage is crucial for patient care prioritization.
  • Limited real-world testing of triage tools in live ED environments exists.

Purpose of the Study:

  • To evaluate the agreement between a computerized decision support tool and traditional memory-based triage in an ED setting.
  • To compare the accuracy of both triage methods against an expert panel consensus.

Main Methods:

  • A blinded study nurse used a computerized decision support tool on ED patients.
  • Triage scores were compared between the tool and usual nurse-based triage.
  • A subset of patients was reviewed by an expert panel for consensus.

Related Experiment Videos

Main Results:

  • Poor agreement (kappa = 0.202) was found between the computerized tool and memory-based triage.
  • The computerized tool demonstrated higher agreement with the expert panel (kappa = 0.426) than nurse triage (kappa = 0.263).
  • Significant down-triaging occurred without the computerized tool, impacting admission rates.

Conclusions:

  • Memory-based ED triage by nurses shows significant discrepancies compared to a computerized tool.
  • Triage decision support tools can reduce variability and improve accuracy, with administrative implications for EDs.