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Transforming Health Care Through Information: Case Studies pp 135–153Cite as

Implementing a Computerized Triage System in the Emergency Department

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Part of the book series: Health Informatics ((HI))

Abstract

Information Technology (IT) solutions are rapidly being developed for different health care applications throughout the country’s hospitals. The development and implementation of IT applications go through different phases. To successfully implement an IT application, these phases have to be merged with process re-engineering and organizational changes. The required organizational changes are critical to the overall success of IT implementation projects, but the required efforts to achieve the institutional level of commitment remain underestimated and, as a result, often cause unforeseen outcomes and implementation failures. From the very first moments of an IT implementation effort, the technological system capabilities must be tightly coupled with change processes and user involvement. Although common sense supports the idea that the IT application should support a health care provider in caring for patients, it frequently occurs that health care providers are asked to support the IT application. This may lead to the design of systems that have a lower degree of user acceptance and data integrity.

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References

  1. Jirjis J, Patel NR, Aronsky D, Lorenzi N, Giuse D. Seeing stars: the creation of a core clinical support informatics product. Int J Healthc Technol Manag. 2003;5(3/4/5):284-295.

    Article  Google Scholar 

  2. Giuse DA. Supporting communication in an integrated patient record system. AMIA Annu Symp Proc. 2003:1065.

    Google Scholar 

  3. Neilson EG, Johnson KB, Rosenbloom ST, et al. The impact of peer management on test-ordering behavior. Ann Intern Med. 2004;141(3):196-204.

    PubMed  Google Scholar 

  4. Miller RA, Waitman LR, Chen S, Rosenbloom ST. The anatomy of decision support during inpatient care provider order entry (CPOE): empirical observations from a decade of CPOE experience at Vanderbilt. J Biomed Inform. 2005;38(6):469-485.

    Article  PubMed  Google Scholar 

  5. Oberholzer-Gee F, Inamdar SN. Merck’s recall of rofecoxib – a strategic perspective. N Engl J Med. 2004;351(21):2147-2149.

    Article  CAS  PubMed  Google Scholar 

  6. Potts AL, Barr FE, Gregory DF, Wright L, Patel NR. Computerized physician order entry and medication errors in a pediatric critical care unit. Pediatrics. 2004;113:59-63.

    Article  PubMed  Google Scholar 

  7. Feied CF, Smith MS, Handler JA, Kanhouwa M. Emergency medicine can play a leadership role in enterprise-wide clinical information systems. Ann Emerg Med. 2000;35(2):162-167.

    Article  CAS  PubMed  Google Scholar 

  8. France DJ, Levin S, Hemphill R, et al. Emergency physicians’ behaviors and workload in the presence of an electronic whiteboard. Int J Med Inform. 2005;74(10):827-837.

    Article  PubMed  Google Scholar 

  9. Levin S, Aronsky D, Hemphill R, Han J, Slagle J, France DJ. Shifting toward balance: measuring the distribution of workload among emergency physician teams. Ann Emerg Med. 2007;50(4):419-423.

    Article  PubMed  Google Scholar 

  10. To Err Is Human: Building a Safer Health System. Institute of Medicine. Washington, DC: National Academies Press; 2000.

    Google Scholar 

  11. Aronsky D, Jones I, Lanaghan K, Slovis CM. Supporting patient care in the emergency department with a computerized whiteboard system. J Am Med Inform Assoc. 2007;15(2):184-194.

    Article  PubMed  Google Scholar 

  12. Belser D, Aronsky D, Dilts DM, Ferreira J. Developing an emergency department information system: a case history. In: Lorenzi NM, Ash J, Einbinder J, McPhee W, Einbinder L, eds. Transforming Health Care Through Information: Case Studies. 2nd ed. New York: Springer; 2004.

    Google Scholar 

  13. Gilboy N, Tanabe P, Travers DA, Rosenau AM, Eitel DR. Emergency severity index, Version 4: Implementation Handbook. AHRQ Publication No. 05-0046-2; May 2005. Agency for Healthcare Research and Quality, Rockville, MD. Available at: http://www.ahrq.gov/research/esi/

  14. Emergency medical treatment and active labor act (EMTALA). Federal Register 68,174. 2003:53222.

    Google Scholar 

  15. MacClean S. ENA National Benchmark Guide: Emergency Departments. Des Plaines, IL: Emergency Nurses Association; 2002.

    Google Scholar 

  16. Emergency Nurses Association. Position statements: ENA board approves statement on joint ENA/ACEP five-level triage task force. Des Plaines, IL: Emergency Nurses Association; 2003.

    Google Scholar 

  17. Physicians ACOE. ACEP Policy Statements: Triage Scale Standardization. Dallas, TX: American College of Emergency Physicians; 2003.

    Google Scholar 

  18. Eitel DR, Travers DA, Rosenau AM, Gilboy N, Wuerz RC. The emergency severity index triage algorithm version 2 is reliable and valid. Acad Emerg Med. 2003;10(10):1070-1080.

    Article  PubMed  Google Scholar 

  19. Tanabe P, Gimbel R, Yarnold PR, Kyriacou DN, Adams JG. Reliability and validity of scores on the emergency severity index version 3. Acad Emerg Med. 2004;11(1):59-65.

    PubMed  Google Scholar 

  20. Van Gerven R, Delooz H, Sermeus W. Systematic triage in the emergency department using the Australian National triage scale: a pilot project. Eur J Emerg Med. 2001;8(1):3-7.

    Article  PubMed  Google Scholar 

  21. Considine J, Ung L, Thomas S. Triage nurses’ decisions using the national triage scale for Australian emergency departments. Accid Emerg Nurs. 2000;8(4):201-209.

    Article  CAS  PubMed  Google Scholar 

  22. Cronin JG. The introduction of the Manchester triage scale to an emergency department in the Republic of Ireland. Accid Emerg Nurs. 2003;11(2):121-125.

    Article  CAS  PubMed  Google Scholar 

  23. J Murray M. The Canadian triage and acuity scale: a Canadian perspective on emergency department triage. Emerg Med (Fremantle). 2003;15(1):6-10.

    Google Scholar 

  24. Beveridge R, Ducharme J, Janes L, Beaulieu S, Walter S. Reliability of the Canadian emergency department triage and acuity scale: interrater agreement. Ann Emerg Med. 1999;34(2):155-159.

    Article  CAS  PubMed  Google Scholar 

  25. Beveridge R. CAEP issues. The Canadian triage and acuity scale: a new and critical element in health care reform. Canadian association of emergency physicians. J Emerg Med. 1998;16(3):507-511.

    Article  CAS  PubMed  Google Scholar 

  26. Morris AH. Developing and implementing computerized protocols for standardization of clinical decisions. Ann Intern Med. 2000;132(5):373-383.

    CAS  PubMed  Google Scholar 

  27. Rosenbloom ST, Kiepek W, Belletti J, et al. Generating complex clinical documents using structured entry and reporting. Medinfo. 2004;11:683-687.

    Google Scholar 

  28. Travers D. Triage: How long does it take? How long should it take? J Emerg Nurs. 1999;25(3):238-240.

    Article  CAS  PubMed  Google Scholar 

  29. Dong SL, Bullard MJ, Meurer DP, et al. Emergency triage: comparing a novel computer triage program with standard triage. Acad Emerg Med. 2005;12(6):502-507.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Emergency Medicine, Johns Hopkins University, Baltimore, MD, 21287, USA

    Scott R. Levin

  2. Eskind Biomedical Library, Department of Biomedical Engineering, Vanderbilt University Medical Center, Nashville, TN, 37232-8340, USA

    Daniel J. France & Dominik Aronsky

Authors
  1. Scott R. Levin
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  2. Daniel J. France
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  3. Dominik Aronsky
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Editor information

Editors and Affiliations

  1. Clinical Informatics Research &, Partners HealthCare System, Worcester Rd. 93, Wellesley, 02481, U.S.A.

    Laura Einbinder

  2. Medical Center, Vanderbilt University, Nashville, 37232, U.S.A.

    Nancy M. Lorenzi

  3. Div. Medical Informatics & Clinical , Oregon Health & Science University, SW. Sam Jackson Park Rd. 3181, Portland, 97239, U.S.A.

    Joan Ash

  4. Dept. Biomedical Informatics, Vanderbilt University, Garland Ave. 2209, Nashville, 37232, U.S.A.

    Cynthia S. Gadd

  5. Clinical Informatics Research &, Partners HealthCare System, Worcester Rd. 93, Wellesley, 02481, U.S.A.

    Jonathan Einbinder

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© 2010 Springer Science+Business Media, LLC

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Levin, S.R., France, D.J., Aronsky, D. (2010). Implementing a Computerized Triage System in the Emergency Department. In: Einbinder, L., Lorenzi, N., Ash, J., Gadd, C., Einbinder, J. (eds) Transforming Health Care Through Information: Case Studies. Health Informatics. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0269-6_13

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  • DOI: https://doi.org/10.1007/978-1-4419-0269-6_13

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-0268-9

  • Online ISBN: 978-1-4419-0269-6

  • eBook Packages: MedicineMedicine (R0)

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