Title | ||
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On Development and Evaluation of Prototype Mobile Decision Support for Hospital Triage |
Abstract | ||
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Ambiguous triage scenarios in hospital emergency departments are often difficult to assess without decision support. Subjective assessments of such scenarios can either lead to under-triaging or over-triaging for which true conditions of patients are often not addressed within the required time. In this paper, we propose a decision support model that can guide a clinician when identifying the urgency of medical intervention when patient presents with ambiguous triage case. Our model is a heuristic approach that selects the best triage category, identifies corresponding discriminating attribute of the patient, and allows clinician to attach a level of confidence in the decision. We implemented this model as a mobile decision support system, called iTriage. Results of an initial evaluation of iTriage using fourteen paper-based adult triage scenarios showed that our model produced robust decisions for urgent scenarios. For non-urgent scenarios, the proposed model provided guidance especially when the scenarios were ambiguously stated. |
Year | DOI | Venue |
---|---|---|
2005 | 10.1109/HICSS.2005.464 | HICSS |
Keywords | Field | DocType |
hospital triage,best triage category,decision support,mobile decision support system,fourteen paper-based adult triage,patient present,ambiguous triage case,robust decision,decision support model,prototype mobile decision support,ambiguous triage scenario,computer science,decision support system,helium,decision support systems,prototypes,software engineering | Heuristic,Computer science,Decision support system,Knowledge management,Triage | Conference |
ISSN | ISBN | Citations |
1530-1605 | 0-7695-2268-8-6 | 11 |
PageRank | References | Authors |
1.00 | 1 | 6 |
Name | Order | Citations | PageRank |
---|---|---|---|
J. San Pedro | 1 | 11 | 1.00 |
F. Burstein | 2 | 26 | 3.10 |
Jeff Wassertheil | 3 | 33 | 4.47 |
N. Arora | 4 | 11 | 1.00 |
L. Churilov | 5 | 77 | 7.57 |
A. Zaslavsky | 6 | 12 | 1.39 |