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Related Experiment Videos

Computerized algorithm-directed triage in the emergency department.

D A Berman1, S T Coleridge, T A McMurry

  • 1Department of Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, Texas 78234-6200.

Annals of Emergency Medicine
|February 1, 1989
PubMed
Summary
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Computerized algorithm-directed triage effectively directs patients using minimally trained staff. This system successfully managed a large patient volume, with a low retriage rate from acute care to the emergency department.

Area of Science:

  • Medical Informatics
  • Healthcare Management
  • Emergency Medicine

Background:

  • Effective patient triage is crucial for optimizing emergency department (ED) and acute care clinic workflows.
  • Minimally trained personnel can be utilized for triage with appropriate systems.
  • Brooke Army Medical Center implemented a computerized algorithm-directed triage system.

Purpose of the Study:

  • To evaluate the effectiveness of a computerized algorithm-directed triage system.
  • To assess the accuracy and efficiency of patient disposition using automated protocols.
  • To determine the retriage rate from acute care to the emergency department.

Main Methods:

  • A retrospective audit of 98,086 patient charts was performed.
  • Patient dispositions were categorized into acute care clinic or emergency department.

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  • Retriage events from the acute care clinic to the ED were specifically analyzed.

    • Main Results:

    • A total of 58,282 patients were initially directed to the acute care clinic.
    • The remaining patients were directed to the emergency department.
    • Only 733 patients (1.2%) required retriage from the acute care clinic to the ED.

    Conclusions:

    • Computerized algorithm-directed triage is an effective system for patient management.
    • The system demonstrates high accuracy, minimizing unnecessary transfers to the ED.
    • Utilizing minimally trained personnel with this system is feasible and efficient.