1,208 Results Found

Elderly patients, when they present to the emergency department (ED) or are admitted to the hospital, are at higher risk of adverse outcomes such as higher mortality and longer hospital stays. This is mainly due to their age and their increased fragi...

Background and Objectives: Triage systems help provide the right care at the right time for patients presenting to emergency departments (EDs). Triage systems are generally used to subdivide patients into three to five categories according to the sys...

Emergency department (ED) triage is the cornerstone of ED operations. Many different triage systems have been proposed and implemented globally. To date, an ideal triage system has not yet been identified. As the burden on EDs rises, with overcrowdin...

Background/Objectives: This study aimed to investigate the relationship between critical thinking disposition, clinical judgement, nurse–physician collaboration, and triage competency among triage nurses and to identify the factors influencing...

The Korean Triage and Acuity Scale (KTAS) is used to determine emergency patient priority. The purpose of this study was to develop the Competency-Based Triage Education Application (CTEA) using KTAS and evaluate its effectiveness on emergency nurses...

Digital triage is the first investigative step of the forensic examination. The digital triage comes in two forms, live triage and post-mortem triage. The primary goal of the live triage is a rapid extraction of an intelligence from the potential sou...

Objectives: To understand existing triage algorithms, propose improvement measures through comparison to better deal with mass-casualty incidents caused by bioterrorism. Study Design: Systematic review. Methods: Medline, Scopus and Web of Science wer...

Large hospitals can be complex, with numerous discipline and subspecialty settings. Patients may have limited medical knowledge, making it difficult for them to determine which department to visit. As a result, visits to the wrong departments and unn...

Background: Emergency department (ED) triage systems aim to prioritize patients based on clinical severity, ensuring timely intervention for high-risk cases. Recently, the National Early Warning Score (NEWS) has been proposed as an alternative to tra...

Objective: The human body cannot withstand intense mechanical forces generated by an earthquake. The shaking effect of an earthquake, as the human body absorbs it, produces both visible and invisible injuries. Therefore, it is essential to provide ac...

Triage is the first interaction between a patient and a nurse/paramedic. This assessment, usually performed at Emergency departments, is a highly dynamic process and there are international grading systems that according to the patient condition init...

The Emergency Department (ED) is a facility meant to treat patients in need of medical assistance. The choice of triage system hugely impactsed the organization of any given ED and it is important to analyze them for their effectiveness. The goal of...

With population growth and aging, the emergence of new diseases and immunodeficiency, the demand for emergency departments (EDs) increases, making overcrowding in these departments a global problem. Due to the disease severity and transmission rate o...

Introduction: Large language models (LLMs) have proven effective in many different fields, including the allocation of scarce resources. Triage within emergency departments (ED) is a core process that ensures the sickest patients are seen in a timely...

Efficient triaging and referral assessments are critical in ensuring prompt medical intervention in the community healthcare (CHC) system. However, the existing triaging systems in many community health services are an intensive, time-consuming proce...

Large Language Models (LLMs) are becoming increasingly adopted in various industries worldwide. In particular, there is emerging research assessing the reliability of LLMs, such as ChatGPT, in performing triaging decisions in emergent settings. A uni...

This study examined the factors associated with triage competency among school nurses in South Korea. Using a convenience sampling method, 386 school nurses employed in elementary, middle, or high schools completed a cross-sectional survey that inclu...

One question that has sometimes cropped up in the debate on triage and the management of scarce healthcare resources concerns patients’ merits, demerits, and responsibility with regard to their own medical condition. During the current pandemic...

Post-COVID-19, significant triage modifications were made in emergency hospital medical care. Previous scoping reviews investigated triage changes during COVID-19. This scoping review uniquely considers post-pandemic effects. It searches the paramete...

This research describes the development of an autonomous robotic triage system, carried out by a student through project-based and challenge-based learning methodologies, aimed at solving real-world problems using applied technologies. The system ope...

Medical imaging can be a critical tool for triaging casualties in trauma situations. In remote or military medicine scenarios, triage is essential for identifying how to use limited resources or prioritize evacuation for the most serious cases. Ultra...

The essay outlines a four-phase triage process made by a fictive Talmudic rabbi working on an equally fictive hospital COVID-19 ward. The rabbi bases his decision on four different Talmudic texts, proceeding one by one, with each text building on the...

Implementation of population screening for colorectal cancer by direct colonoscopy or follow-up colonoscopy after a positive fecal blood test has challenged the overall capacity of bowel examinations. Certain countries are facing serious colonoscopy...

Background/Objectives: Emergency room severity classification (KTAS) is essential for patient safety but has limitations due to its reliance on subjective judgment. Existing machine learning models have not been trusted in clinical settings due to th...

Background/Purpose: Ophthalmic triage is challenging for non-specialists due to limited training and rising global eye disease burden. This study evaluates a multimodal framework integrating clinical text and ophthalmic imaging with large language mo...

Background: Behavioural cues observed during emergency department (ED) triage may provide additional information on patient acuity. We conducted an exploratory pilot study to investigate whether mobile phone use observed during ED triage was associat...

The patient safety culture is key to ensuring patient safety in healthcare organizations. The triage environment is inherently demanding for patient safety and is characterized by high stress, rapid decision-making, and quick action. In several count...

This prospective observational study evaluated the safety and feasibility of a low threshold testing process in a Triage and Test Center (TTC) during the early course of the coronavirus disease 19 (COVID-19) pandemic. In addition, we aimed to identif...

A triage system in the emergency department is necessary to prioritize and allocate scarce health resources to the medical needs of the patients to facilitate quality health service delivery. This paper aimed to ascertain if the triage system is welc...

The Radiotherapy Incident Reporting and Analysis System (RIRAS) receives incident reports from Radiation Oncology facilities across the US Veterans Health Affairs (VHA) enterprise and Virginia Commonwealth University (VCU). In this work, we propose a...

Emergency triage is a critical healthcare action that could be improved through the use of artificial intelligence (AI) systems, as these have been shown to achieve accuracy rates of approximately 70–90% for LLMs and AUC values ranging from 0.7...

The SARS-CoV-2 pandemic caused a surge in online tools commonly known as symptom checkers. The purpose of these symptom checkers was mostly to reduce the health system burden by providing worried people with testing criteria, where to test and how to...

This study aimed to develop and implement an educational simulation program based on the Korean Triage and Acuity Scale (KTAS) for nurses in emergency medical centers who completed the KTAS training, and assess its effects. We examined the educationa...

The study explores the application of automated machine learning (AutoML) using the MIMIC-IV-ED database to enhance decision-making in emergency department (ED) triage. We developed a predictive model that utilizes triage data to forecast hospital ad...

Objectives: This study aimed to compare the predictive performance of the Korean Triage and Acuity Scale (KTAS) and the National Early Warning Score (NEWS) for serious adverse events (SAEs), including mortality and intensive care unit (ICU) admission...

Background: Nurse-initiated pain protocols (NIPPs) at emergency department (ED) triage remain underused. This study investigated factors associated with patient refusal and nurse use of NIPP, accounting for triage operational context. Methods: This r...

Background/Objectives: Overcrowding in the emergency department (ED) is a global health issue. Early prediction of expected hospitalizations, based on parameters available from triage, is essential to enhance patient transfer from the ED to departmen...

Introduction. To reduce the risk of nosocomial transmission, suspected COVID-19 patients entering the Emergency Department (ED) were assigned to a high-risk (ED) or low-risk (acute medical unit, AMU) area based on symptoms, travel and contact history...

To address the issue of insufficient testing caused by the continuous reduction of software development cycles, many organizations maintain bug repositories and bug tracking systems to ensure real-time updates of bugs. However, each day, a large numb...

This study presents a next-generation clinical decision-support architecture for Clinical Decision Support Systems (CDSS) focused on emergency triage. By integrating Large Language Models (LLMs), Federated Learning (FL), and low-latency streaming ana...

Background/Objectives: Demand for dermatologic services exceeds specialist capacity, with average wait times of 26–50 days in the United States. Current triage methods rely on subjective judgment or disease-specific indices that do not generali...

In this paper, we present a Deep Learning-based system for the support of information triaging on Twitter during emergency situations, such as disasters, or other influential events, such as political elections. The system is based on the assumption...

In the modern era, patients often resort to the internet for answers to their health-related concerns, and clinics face challenges to providing timely response to patient concerns. This has led to a need to investigate the capabilities of AI chatbots...

Emergency department (ED) overcrowding and limited staff availability pose ongoing challenges to healthcare efficiency. Recent advancements in automated health technologies, such as the health pod, aim to alleviate these pressures by automating vital...

Background: During the first COVID-19 pandemic outbreak, a new triage concept had to be implemented for patients with retinal diseases having a scheduled appointment at the medical retina clinic. In this study, we aimed to assess patients’ confidence...

In 2019, an urban ambulance system was deployed in the city of Beira, Mozambique to refer patients from peripheral health centres (HCs) to the only hospital of the city (Beira Central Hospital—HCB). Initially, the system worked following a firs...

Climate change is a certainty, but the degree and rate of change, as well as impacts of those changes are highly site-specific. Natural World Heritage sites represent a treasure to be managed and sustained for all humankind. Each World Heritage site...

Introduction: The prevention of heart failure (HF) exacerbation is crucial for patient prognosis, and preventive treatment for potential symptoms and warning signs is essential in this context. The TriageHF © algorithm has been retrospectively v...

Background and Objectives: The Taiwan Triage and Acuity Scale (TTAS) is reliable for triaging patients in emergency departments in Taiwan; however, most triage decisions are still based on chief complaints. The reverse-shock index (SI) multiplied by...

Introduction: The early identification of patients with SARS-CoV-2 infection is still a real challenge for emergency departments (ED). First, we aimed to develop a score, based on the use of the lung ultrasonography (LUS), in addition to the pre-tria...