Impact of a Teletriage program on left without being seen rates and cost
Bibliographic record
Abstract
Objective: Emergency Departments (EDs) experience throughput constraints for various reasons, such as space, resources, staffing, and bed placement. These throughput constraints are known to increase the volume of patients who leave without being evaluated. TeleTriage is a method implemented shortly after the arrival of the patient to the ED, as a means to expedite evaluation of patients. The project aimed to implement a TeleTriage program and analyze any impact on Left Without Being Seen (LWBS) rates and cost.Methods: A TeleTriage program was developed within a large, nonprofit, academic health care delivery system. The program was piloted at several campuses and subsequently implemented at multiple sites within the health system. Data on LWBS rates were collected for patients evaluated by the TeleTriage process and those who were not. An analysis of staffing utilization and cost-savings was also performed.Results: The TeleTriage program resulted in an average LWBS rate of 0.12% post-implementation, versus 0.79% for patients who were not in the TeleTriage group. In addition, the staffing consolidation resulted in cost-savings.Conclusions: The use of a TeleTriage program results in decreased LWBS rates, as well as cost-savings.
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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 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 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".