Leveraging Machine Learning to Identify Subgroups of Misclassified Patients in the Emergency Department: Multicenter Proof-of-Concept Study

We identified subgroups of patients consistently undertriaged using 2 common triage systems. While the importance of clinical patient characteristics to triage misclassification varies by triage system and location, we found consistent evidence between the two locations that the clinical referral department is the most important variable associated with triage misclassification. Replication of this approach at other centers could help to further improve triage scoring systems and improve patient care worldwide.

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Publication Details

Journal
Journal of Medical Internet Research
Published
2024-10-25
DOI
https://doi.org/10.2196/56382
Citations
2
Primary Topic
Medical Coding and Health Information
Type
article
Field-Weighted Citation Impact
1.42
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article

Leveraging Machine Learning to Identify Subgroups of Misclassified Patients in the Emergency Department: Multicenter Proof-of-Concept Study

Dagfinn Lunde Markussen, Marcus Landschulze, Yeneabeba Tilahun Sima, Sage Wyatt et al.
2 citations
Journal of Medical Internet Research
Medical Coding and Health Information
1.42
article

Leveraging Machine Learning to Identify Subgroups of Misclassified Patients in the Emergency Department: Multicenter Proof-of-Concept Study

Dagfinn Lunde Markussen, Marcus Landschulze, Yeneabeba Tilahun Sima, Sage Wyatt, Christopher Martin Sauer, Hauke Bartsch, A. Vestbø, Mounir Haizoune, Maria Ilene Sandboe
article en
2 citations

Abstract

We identified subgroups of patients consistently undertriaged using 2 common triage systems. While the importance of clinical patient characteristics to triage misclassification varies by triage system and location, we found consistent evidence between the two locations that the clinical referral department is the most important variable associated with triage misclassification. Replication of this approach at other centers could help to further improve triage scoring systems and improve patient care worldwide.

Journal of Medical Internet ResearchVol. 26
Norwegian University of Science and Technology (NO), Western Norway Regional Health Authority (NO), Haukeland University Hospital (NO), Bergen Kommune (NO), Essen University Hospital (DE), Western Norway University of Applied Sciences (NO), University of Bergen (NO), Massachusetts Institute of Technology (US)
Reduced inequalities
Openalex Percentile: Top 13%
Medical Coding and Health Information
1.42
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