Bibliographic record
Abstract
Editor: I read with particular interest the article, “Chaos, Turmoil, and Hysteria: Just Another Night in Triage,” which reviewed the problems encountered in triage. The article highlighted two triage systems, the Emergency Severity Index, a five-level triage system studied in this country, and the e-triage system developed in Canada. We have recently reported our experience with the Soterion Rapid Triage System (SRTS). (J Emerg Med 2006;4:461; U.S. Patent No. 6,786,406 B1.) SRTS is a computerized, algorithm-driven five-level triage acuity system. The use of algorithms has the potential benefit of minimizing the variability of the triage decision-making process. The computerized nature of the system allows for the electronic capture and retrieval of all data acquired during the triage process, facilitating future use of this information in a national triage database. We found that nurses rapidly adapted to the system, requiring as little as 30 minutes training. The inter-rater reliability was extremely high, with 89 percent exact agreement between two nurses in the triage level assigned (weighted kappa = 0.87). We also demonstrated the system's validity in its ability to differentiate among different levels of acuity as measured by admission rates, ED lengths of stay, and hospital charges. Finally, we have recently reported our experience with the use of SRTS in children presenting to the ED, which represents the first study in this country on the effectiveness of a five-level triage system in children. (“The Use of the Soterion Rapid Triage System in Children Presenting to the ED.” J Emerg Med 2006. In press.) Unlike other five-level systems which have reported poor reliability and significant under-triage of children (Emerg Med 2002;14:67; Acad Emerg Med 2002;9:1397; Am J Emerg Med 2005;23[3]:243), SRTS was found to be highly reliable and strongly predictive of clinical outcome and resource utilization. The system's functionality, effectiveness in clinical practice, and availability of electronically archived data are characteristics beneficial to the development of a national standardized five-level triage acuity system. The Soterion Rapid Triage System represents a viable alternative to current non-computerized five-level triage systems. Peter A. Maningas, MD Joplin, MO
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.012 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".