A Bayesian model for triage decision support

International Journal of Medical Informatics

Volumn 75, Issue 5, 2006, Pages 403-411

  Sadeghi, Sarmad ^a   Barzi, Afsaneh ^c   Sadeghi, Navid ^b   King, Brent ^b  

^a UNIVERSITY OF TEXAS   (United States)

^b UNIVERSITY OF TEXAS MEDICAL SCHOOL   (United States)

^c UNIVERSITY OF TEXAS MEDICAL BRANCH   (United States)

Author keywords

Bayesian network; Decision support system; Triage

Indexed keywords

AUTOMATION; DATA ACQUISITION; DECISION THEORY; DIAGNOSIS; DISPOSABLE BIOMEDICAL EQUIPMENT; EMERGENCY ROOMS; MEDICAL PROBLEMS; MEDICINE; PATIENT MONITORING; REGRESSION ANALYSIS;

BINARY LOGISTIC REGRESSION MODEL; HOSPITALIZATION; TRAUMATIC ABDOMINAL PAIN; TRIAGE SYSTEM;

BIOMEDICAL EQUIPMENT;

ABDOMINAL PAIN; ACCURACY; ARTICLE; BAYES THEOREM; DECISION MAKING; DECISION SUPPORT SYSTEM; EMERGENCY CARE; EMERGENCY HEALTH SERVICE; EMERGENCY PHYSICIAN; EMERGENCY WARD; HUMAN; MEDICAL RECORD; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SENSITIVITY AND SPECIFICITY; STATISTICAL MODEL;

ABDOMINAL PAIN; BAYES THEOREM; DECISION SUPPORT SYSTEMS, CLINICAL; DECISION SUPPORT TECHNIQUES; DIAGNOSIS, COMPUTER-ASSISTED; EMERGENCY MEDICAL SERVICES; EXPERT SYSTEMS; HUMANS; REPRODUCIBILITY OF RESULTS; RETROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; TEXAS; TRIAGE;

EID: 33645418730     PISSN: 13865056     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijmedinf.2005.07.028     Document Type: Article

References (58)

1. J. Cioffi Triage decision-making: educational strategies Accid. Emerg. Nurs. 7 2 1999 106 111
2. G.A. Pane, M.C. Farner, and K.A. Salness Health care access problems of medically indigent emergency department walk-in patients Ann. Emerg. Med. 20 7 1991 730 733
3. J. Koziol-McLain Seeking care for nonurgent medical conditions in the emergency department: through the eyes of the patient J. Emerg. Nurs. 26 6 2000 554 563
4. M.K. Marks, D. Steinfort, and P.L. Barnett Inappropriate use of hospital emergency departments Med. J. Aust. 178 4 2003 187 188
5. S.M. Schappert National Hospital Ambulatory Medical Care Survey: 1992 Emergency Department summary Vital Health Stat. 13 125 1997 1 108
6. S. Schneider Rochester, New York a decade of emergency department overcrowding Acad. Emerg. Med. 8 11 2001 1044 1050
7. R.B. Baer, J.S. Pasternack, and F.L. Zwemer Jr. Recently discharged inpatients as a source of emergency department overcrowding Acad. Emerg. Med. 8 11 2001 1091 1094
8. R.W. Derlet Triage of patients out of the emergency department: three-year experience Am. J. Emerg. Med. 10 3 1992 195 199
9. M.E. Greenberg Telephone nursing: evidence of client and organizational benefits Nurs. Econ. 18 3 2000 117 123
10. E. Rosenblatt Telephone triage. A common sense approach RN 64 3 2001 p. 2-3
11. M. Sabin Telephone triage improves demand management effectiveness Healthc. Financ. Manage. 52 8 1998 49 51
12. W.M. Post FreeCall, a system for emergency-call-handling support Meth. Inf. Med. 35 3 1996 242 255
13. J.P. O'Connor Nurse phone care - a new way of thinking (Part 2) Med. Group Manage. J. 43 3 1996 p. 58-9, 61-2, 64 passim
14. E. McGraw, H. Barthel, and M. Arrington A model for demand management in a managed care environment Mil. Med. 165 4 2000 305 308
15. J.M. Kastens Integrated care management: aligning medical call centers and nurse triage services Nurs. Econ. 16 6 1998 p. 320-322, 329
16. DM nurse line creates 'win-win' scenario for point-of-service, product Healthc. Demand Dis. Manag. 3 4 1997 57 59
17. J.A. Lester, and M. Breudigam Nurse triage telephone centers: key to demand-management strategy NAHAM Manage. J. 22 4 1996 p. 13-14, 34
18. B.W. Wolcott Managed care's driving force: demand management Infocare 1996 12 15
19. S.M. Franco, C.K. Mitchell, and R.M. Buzon Primary care physician access and gatekeeping: a key to reducing emergency department use Clin. Pediatr. (Phila) 36 2 1997 63 68
20. J.W. Barber Evaluation of emergency department referrals by telephone triage Pediatrics 105 4 Pt 1 2000 819 821
21. D. Glotzer Prior approval in the pediatric emergency room Pediatrics 88 4 1991 674 680
22. J. Cioffi Decision-making by emergency nurses in triage assessments Accid. Emerg. Nurs. 6 4 1998 184 191
23. D.E. Wagner Health Care Plan's Nurse Advice System Proc. Annu. Symp. Comput. Appl. Med. Care 1992 74 78
24. H.P. Selker Use of the acute cardiac ischemia time-insensitive predictive instrument (ACI-TIPI) to assist with triage of patients with chest pain or other symptoms suggestive of acute cardiac ischemia. A multicenter, controlled clinical trial Ann. Intern. Med. 129 11 1998 845 855
25. A. Qamar The Goldman algorithm revisited: prospective evaluation of a computer-derived algorithm versus unaided physician judgment in suspected acute myocardial infarction Am. Heart J. 138 4 Pt 1 1999 705 709
26. M.W. Pozen The usefulness of a predictive instrument to reduce inappropriate admissions to the coronary care unit Ann. Intern. Med. 92 2 Pt 1 1980 238 242
27. Patients can help with, documentation ED Manage. 12 10 2000 116 117
28. S.R. Frank Digital health care - the convergence of health care and the Internet J. Ambul. Care Manage. 23 2 2000 8 17
29. W.C. Kinney Web-based clinical decision support system for triage of vestibular patients Otolaryngol. Head Neck Surg. 128 1 2003 48 53
30. B. Edwards Telephone triage: how experienced nurses reach decisions J. Adv. Nurs. 19 4 1994 717 724
31. J. Marsden Decision-making in A&E by expert nurses Nurs. Times 94 41 1998 62 65
32. J. Hilden The nonexistence of interpersonal utility scales. A missing link in medical decision theory? Med. Decis. Making 5 2 1985 215 228
33. R.F. Nease Jr. Do violations of the axioms of expected utility theory threaten decision analysis? Med. Decis. Making 16 4 1996 399 403
34. J. Baron Why expected utility theory is normative, but not prescriptive Med. Decis. Making 16 1 1996 7 9 discussion 14
35. G. Wu The strengths and limitations of expected utility theory Med. Decis. Making 16 1 1996 9 10 discussion 14
36. J. Douard Is risk neutrality rational? Med. Decis. Making 16 1 1996 10 11 discussion 14
37. L. Eeckhoudt Expected utility theory - is it normative or simply "practical"? Med. Decis. Making 16 1 1996 12 13 discussion 14
38. B.J. Cohen Do the expected utility axioms hide flaws? Med. Decis. Making 17 4 1997 498 499
39. B.J. Cohen Is expected utility theory normative for medical decision making? Med. Decis. Making 16 1 1996 1 6
40. M.A. Graber, and D. VanScoy How well does decision support software perform in the emergency department? Emerg. Med. J. 20 5 2003 426 428
41. W.W. Cheung, L. Heeney, and J.L. Pound An advance triage system Accid. Emerg. Nurs. 10 1 2002 10 16
42. S.W. Goodacre Consistency of retrospective triage decisions as a standardised instrument for audit J. Accid. Emerg. Med. 16 5 1999 322 324
43. J. Nakagawa Interobserver agreement in emergency department triage Ann. Emerg. Med. 41 2 2003 191 195
44. Quality of telephone triage nursing comes under fire Healthc. Demand Dis. Manage. 5 5 1999 p. 65, 70-74
45. Make CQI an integral part of call center management Healthc. Demand Dis. Manage. 4 4 1998 53 55
46. J.M. Gill, C.L.t. Reese, and J.J. Diamond Disagreement among health care professionals about the urgent care needs of emergency department patients Ann. Emerg. Med. 28 5 1996 474 479
47. G.M. O'Brien Do internists and emergency physicians agree on the appropriateness of emergency department visits? J. Gen. Intern. Med. 12 3 1997 188 191
48. D.A. Wachter Pediatric telephone triage protocols: standardized decision-making or a false sense of security? Ann. Emerg. Med. 33 4 1999 388 394
49. J.C. Brillman Triage: limitations in predicting need for emergent care and hospital admission Ann. Emerg. Med. 27 4 1996 493 500
50. Internet Resource: NHS Direct Online Website. URL: http://www.nhsdirect. nhs.uk/, (accessed on 1 December 2004).
51. C. Kenny Telephone triage. Jury still out on safety of NHS direct Nurs. Times 96 50 2000 13
52. M. Jordan NHS Direct Online has important role BMJ 322 7289 2001 795
53. L. Eaton NHS Direct Online explores partnerships with other health organisations BMJ 324 7337 2002 568
54. D. Carnall NHS Direct Online BMJ 320 7226 2000 66B
55. Internet resource: WebMD Symptoms - Provided by Healthwise Inc., Boise, ID, USA.
56. Internet resource: FamilyPractice.com Symptom Checker, based on Harvard Medical School Family Health Guide. URL: http://www.familypractice.com/ symptomchecker/sc_frame.htm.
57. A. Komaroff The Harvard Medical School Family Health Guide 1999 Simon & Schuster New York (accessed 1 December 2004)
58. J.D. Moore An analysis of patient compliance with nurse recommendations from an after-hours call center Am. J. Manage. Care 8 4 2002 343 351