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Record W7110532271

The Effects of a Triaging Educational Training Program on Triaging Knowledge, Self-efficacy and Accuracy in Emergency Department Nurses in a Private Hospital in Saudi Arabia

2025· article· W7110532271 on OpenAlex

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

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".

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueODU Digital Commons (Old Dominion University) · 2025
Typearticle
Language
FieldMedicine
TopicEmergency and Acute Care Studies
Canadian institutionsnot available
Fundersnot available
KeywordsTriageEmergency departmentAuditMEDLINEChartHealth careTraining (meteorology)Confidence interval
DOInot available

Abstract

fetched live from OpenAlex

Inaccurate triage decisions can lead to increased length of patient stays in the emergency department, increased rehospitalizations, and increased risk of mortality, all of which are quality of care indicators (Srinivas et al., 2021). The triaging decisions in the emergency department at our facility are conducted by relatively new and inexperienced nurses. Anecdotal evidence from the emergency department leadership suggests that inaccurate triaging decisions are being made. In addition, 60 percent of a limited sample of 30 charts that were recently reviewed contained inaccurate triaging decisions. The accuracy of these triaging decisions has not been systematically evaluated at our facility. Triaging educational training programs that include systematic audits of triaging decisions have been shown to improve the sustained accuracy of triaging decisions by improving nurses’ triaging knowledge and triaging confidence or self-efficacy (Oh & Jung, 2024). The purpose of this project is to implement the Canadian Triage and Acuity Scale (CTAS) triaging educational training program (Bullard et al., 2017) for emergency room nurses and to evaluate the effectiveness of the program in improving nurses’ triaging knowledge, triaging self-efficacy, and the accuracy of triaging decisions. The triaging educational training program is currently being implemented at our facility and includes demographic characteristics of the participants and a triaging knowledge (Phykubuye et al., 2019) and self-efficacy assessment (Oh and Jung, 2024 & Bandura, 2006) before participating in the training and four months later. An expert triage nurse will conduct a chart audit, using the Canadian Triage and Acuity Scale, that measures the accuracy of the triaging decisions made by the nurses before and after participating in the triaging educational training program.

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 imitation

Not 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.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.003
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.504
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.003
Science and technology studies0.0000.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

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.

Opus teacher head0.012
GPT teacher head0.290
Teacher spread0.278 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it