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Related Experiment Video

Updated: Jul 11, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Whose work practice? Situating an electronic triage system within a complex system.

Ellen Balka¹, Sandy Whitehouse

¹School of Communication, Simon Fraser University, Vancouver Coastal Health, Canada.

Studies in Health Technology and Informatics

|October 6, 2007

Summary

This summary is machine-generated.

Implementing an electronic triage system in a children's emergency department led to its discontinuation due to patient safety concerns and workflow disruptions. Careful consideration of diverse stakeholder data needs is crucial for future system implementations.

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Area of Science:

Health Informatics
Healthcare Management
Complex Systems Analysis

Background:

A busy children's hospital emergency department implemented an electronic triaging system.
The system was discontinued within 18 months due to staff complaints regarding patient safety and workflow slowdowns.

Purpose of the Study:

To examine the issues encountered during the implementation of an electronic triaging system.
To discuss these issues in the context of decision-making within complex healthcare systems.

Main Methods:

Qualitative examination of implementation challenges.
Analysis of system data usage across multiple domains.
Discussion of stakeholder needs and system design.

Main Results:

The electronic triage system faced significant challenges, leading to its removal.
Data from the triage encounter served multiple domains (care, access, federal equity, local accounting, research) with differing stakeholder needs.
Disparate stakeholder requirements contributed to implementation difficulties.

Conclusions:

Failure to adequately identify data requirements and acknowledge varied stakeholder interests prior to implementation contributed to the system's issues.
Future implementations require greater attention to domain-specific data needs and stakeholder engagement to improve success rates.