Beyond Algorithm: Emergency Department Professionals' Perspectives on Machine Learning-Based Triage Integration—A Qualitative Study.

Emergency department (ED) overcrowding has necessitated more efficient triage processes. Traditional methods can struggle to keep up with increasing patient volumes, and interest in machine learning-based triage systems is increasing. However, the perspectives of emergency department professionals,...

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Publicado en:Inquiry (00469580) Vol. 62; pp. 1 - 14
Autores principales: Emre M., Güvey, Fevzi M., Esen, Efe, Onganer
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 10/14/2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Beyond Algorithm: Emergency Department Professionals' Perspectives on Machine Learning-Based Triage Integration—A Qualitative Study.
      aug:
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          Emre M., Güvey
          Fevzi M., Esen
          Efe, Onganer
        affil: Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkiye
      sug:
        subj:
          Physicians, Emergency Psychosocial Factors
          Emergency Nurses Psychosocial Factors
          Physician Attitudes
          Nurse Attitudes
          Machine Learning Algorithms
          Decision Support Systems, Clinical
          Triage
          Emergency Service
          Human
          Male
          Female
          Adult
          Middle Age
          Turkiye
          Multicenter Studies
          Qualitative Studies
          Grounded Theory
          Semi-Structured Interview
          Convenience Sample
          Audiorecording
          Thematic Analysis
          Artificial Intelligence
          Patient Education
          Patient Satisfaction
          Professional-Patient Relations
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Emergency department (ED) overcrowding has necessitated more efficient triage processes. Traditional methods can struggle to keep up with increasing patient volumes, and interest in machine learning-based triage systems is increasing. However, the perspectives of emergency department professionals, who play a critical role in triage decision-making, are often overlooked in ML development. This qualitative study explores emergency department professionals' perspectives on the potential for machine learning-based triage to enhance triage processes in emergency departments. Semi-structured interviews were conducted with 13 ED professionals (9 physicians, 4 nurses) from 6 hospitals in Istanbul. A grounded theory approach was used to analyze the data, identifying themes related to current triage challenges, attitudes toward machine learning-based triage, and suggestions for ML algorithm development. Three main themes emerged: (i) patient and public interaction with triage, (ii) technology and ML in triage, and (iii) triage processes and challenges. Healthcare professionals expressed optimism about the potential of machine learning-based triage but raised concerns about the accuracy of current technology and the need for ML models to integrate complex clinical judgments, particularly regarding pain assessment and patient behavior. While machine learning-based triage has the potential to significantly enhance ED triage, emergency department professionals' experiential insights are crucial for the development of more accurate and usable ML models which focus on incorporating human expertise.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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