Self-administered decision support tool for triage: results of a retrospective study.
BACKGROUND
This study was designed to evaluate the safety of a self-administered triage tool.


METHODS
Ninety-five patients older than 14 years who presented to Memorial Hermann Hospital emergency room (ER) with chief complaint of abdominal pain were included in the study. Their ER disposition and final diagnoses were logged into a database. The assigned disposition and top three diagnoses by the triage tool for each patient were also logged into the database. An emergency physician blinded to the actual disposition reviewed all cases and provided a disposition for each patient.


RESULTS
The system disposed 51.1% of cases appropriately and under-disposed 4.4% of cases. Comparison between the system and the emergency physician shows that all cases under-disposed by the system are also under-disposed by the physician.
Barzi
Afsaneh
A
Dynasty Technologies, Inc, University of Texas at Houston, USA. ABarzi@Dynasty.com
Sadeghi
Sarmad
S
King
Brent R
BR
D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D000328:Adult; D000368:Aged; D000465:Algorithms; D001185:Artificial Intelligence; D001499:Bayes Theorem; D003661:Decision Support Techniques; D003936:Diagnosis, Computer-Assisted; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010358:Patient Participation; D015203:Reproducibility of Results; D012189:Retrospective Studies; D014218:Triage / Q000379:methods*; D014584:User-Computer Interface