OBJECTIVES The computer-assisted version of a self-triage tool (ca-ISET) for an ophthalmic emergency department (ED) was developed to increase the validity of the triage procedure when trained ED staff is absent. METHODS We tested whether sensitivity, specificity, Negative Predictive Value (NPV) and Positive Predictive Value (PPV) of the ca-ISET deviated from regular triage. Patients ≥18 year...

Their evaluation of ETAT implied that the inclusion of physiological parameters was superfluous and, in the triage of a paediatric patient, was 'time-consuming to perform and, if manually and hastily undertaken, could be incorrect'. Summarily doing away with an entire aspect of medical evaluation has a sense of throwing the baby out with the bathwater. There can be no question regarding the val...

Introduction The advent of Meaningful Use (MU) has allowed for the expansion of data collected at the hospital level and received by public health for syndromic surveillance. The triage note, a free text expansion on the chief complaint, is one of the many variables that are becoming commonplace in syndromic surveillance data feeds. Triage notes are readily available in many ED information syst...

INTRODUCTION Triage of patients is critical to patient safety, yet no clear information exists as to the utility of initial vital signs in identifying critically ill older emergency department (ED) patients. The objective of this study is to evaluate a set of initial vital sign thresholds as predictors of severe illness and injury among older adults presenting to the ED. METHODS We reviewed a...

Received: 21 February 2008 Revised: 1 October 2009 Accepted: 1 October 2009 Abstract In this paper, we propose an approach to balance the legitimate and yet conflicting perspectives between standardization and reconfiguration embedded within hospital information systems (HIS) design activities. We report on an action research study of the customization process of an electronic triage and tracki...

Recording information in emergency departments (EDs) constitutes a major obstacle to efficient treatment. A new electronic medical records (EMR) system focusing on clinical documentation was developed to accelerate patient flow. The aim of this study was to examine the impact of a new EMR system on ED length of stay and physician satisfaction. We integrated a new EMR system at a hospital alread...

The high cost of non-compliance with laws and regulations that govern software systems makes legal requirements prioritization crucial. In addition, software design, expense, and time constraints all influence how requirements are prioritized. Prioritizing requirements derived from laws and regulations can be untenable using traditional pairwise requirements prioritization techniques because th...

Introduction: An adequate Mass-Casualty Incident (MCI) triage system is essential to provide the best possible health care greatest number of affected people and optimize management available resources in context a MCI. Method: In February 2022, Disaster Medicine Service 118 Regione Piemonte adopted new 5-color code-MCI Emergency Medical System (EMS) personnel was trained through 3-hours-distan...