• JAMA · Apr 1980

    Algorithm-directed triage of pediatric patients. A prospective study.

    • F P Wilson, L O Wilson, A B Butler, and L Canales.
    • JAMA. 1980 Apr 18; 243 (15): 1528-31.

    AbstractAn Army corpsman used physician-written triage algorithms to rate the urgency of the chief complaints of 2,000 pediatric outpatients. His ratings agreed with subsequent ratings by physicians in 84% of cases. The corpsman assigned a higher care urgency classification in 15% of cases and a lower classification in only 1.2% of cases. No danger to patients resulted from the algorithm-directed screening. Use of a "nonprofessional" as a triage agent spares the pediatrician, pediatric nurse practitioner, and nurse for providing health care. With increasing use of acute care facilities by patients without appointments, physician-written algorithms allow triage agents who lack formal medical training to determine safely the need for care of patients.

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