Triage 2.0: Artificial Intelligence as a Lifeline for Overcrowded Emergency Departments

Tam HL, Chung SF, Lou CK. A review of triage accuracy and future direction. BMC Emerg Med. 2018;18:58. https://doi.org/10.1186/s1287301802150.

Article  PubMed  PubMed Central  Google Scholar 

Raita Y, Goto T, Faridi MK, et al. Emergency department triage prediction of clinical outcomes using machine learning models. Crit Care. 2019;23(1):64. https://doi.org/10.1186/s1305401923517.

Article  PubMed  PubMed Central  Google Scholar 

Peta D, Day A, Lugari WS, et al. Triage: a global perspective. J Emerg Nurs. 2023;49(6):814–25. https://doi.org/10.1016/j.jen.2023.08.004.

Article  PubMed  Google Scholar 

Iserson KV, Moskop JC. Triage in medicine part I: concept, history and types. Ann Emerg Med. 2007;49(3):275–81. https://doi.org/10.1016/j.annemergmed.2006.05.019.

Article  PubMed  Google Scholar 

Imperato J, Morris DS, Sanchez LD, Setnik G. Improving patient satisfaction by adding a physician in triage. J Hosp Adm. 2013;3(1):7. https://doi.org/10.5430/jha.v3n1p7.

Article  Google Scholar 

Suamchaiyaphum K, Jones AR, Markaki A. Triage accuracy of emergency nurses: An evidence-based review. J Emerg Nurs. 2024;50(1):44-54. https://doi.org/10.1016/j.jen.2023.10.001.

Cordeiro Stone M, Atashian C, Felton D, et al. Improving emergency department efficiency: Decreasing wait times by redistribution of physician staffing. Ann Emerg Med. 2019;74(4). https://doi.org/10.1016/j.annemergmed.2019.08.120.

Bijani M, Khaleghi AA. Challenges and barriers affecting the quality of triage in emergency departments: a qualitative study. Galen Med J. 2019;8:e1619. https://doi.org/10.31661/gmj.v8i0.1619.

Article  PubMed  PubMed Central  Google Scholar 

Hinson JS, Taylor RA, Vankatesh A, et al. Accelerated chest pain treatment with artificial intelligence–informed, risk-driven triage. JAMA Intern Med. 2024;184(9):1125–7. https://doi.org/10.1001/jamainternmed.2024.3219.

Article  PubMed  PubMed Central  Google Scholar 

Tahernejad A, Sahebi A, Abadi ASS, et al. Application of artificial intelligence in triage in emergencies and disasters: a systematic review. BMC Public Health. 2024;24(1):3203. https://doi.org/10.1186/s12889-024-20447-3.

Article  PubMed  PubMed Central  Google Scholar 

Arnaud E, Elbattah M, Ammirati C, et al. Use of artificial intelligence to manage patient flow in emergency department during the Covid-19 pandemic: A prospective, signle-center study. Int J Environ Res Public Health. 2022;19(15):9667. https://doi.org/10.3390/ijerph19159667.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Ivanov O, Molander K, Dunne R et al. Detection of sepsis during emergency department triage using machine learning. arXiv [csLG]. Pub online Jun 2023. http://arxiv.org/abs/2204.07657

Khan IA, Karim HMR, Panda CK, et al. Atypical presentations of myocardial infarction: A systematic review of case reports. Cureus. 2023;15(2):e35492. https://doi.org/10.7759/cureus.35492.

Article  PubMed  PubMed Central  Google Scholar 

Yousefi Z, Feizollahzadeh H, Shahsavarinia K, et al. The impact of team triage method on emergency department performance indexes: A quasi-interventional study. Int J Appl Basic Med Res. 2023;13(3):168-174. https://doi.org/10.4103/ijabmr.ijabmr_614_22.

Nyxe A, Gandhi S, Freeze B, et al. Association of emergency department waiting times with patient experience in admitted and discharged patients. J Patient Exp. 2021;8. https://doi.org/10.1177/23743735211011404.

Murray NM, Unberath M, Hager GD, Hui FK. Artificial intelligence to diagnose ischemic stroke and identify large vessel occlusions: a systematic review. J Neurointerv Surg. 2020;12(2):156–64. https://doi.org/10.1136/neurintsurg-2019-015135.

Article  PubMed  Google Scholar 

Chen J, Wu X, Li M, et al. EE-Explorer: A Multimodal Artificial Intelligence System for Eye Emergency Triage and Primary Diagnosis. Am J Ophthalmol. 2023;252:253–64. https://doi.org/10.1016/j.ajo.2023.04.007.

Article  PubMed  Google Scholar 

Hilgendorf L, Petursson P, Gupta V, et al. Predicting troponin biomarker elevation from electrocardiograms using a deep neural network. Open Heart. 2024;11(2):e002937. https://doi.org/10.1136/openhrt-2024-002937.

Article  PubMed  PubMed Central  Google Scholar 

Ivanov O, Wolf L, Brecher D, et al. Improving ED emergency severity index acuity assignment using machine learning and clinical natural language processing. J Emrg Nurs. 2020;47(2):265–e2787. https://doi.org/10.1016/j.jen.2020.11.001.

Article  Google Scholar 

Sun L, Agarwal A, Kornblith A, et al. ED-copilot: Reduce emergency department wait time with language model diagnostic assistance. arXiv. 2024. https://doi.org/10.48550/arXiv.2402.13448.

Article  PubMed  PubMed Central  Google Scholar 

Zaboli A, Brigo F, Brigiari G, et al. Chat-GPT in triage: Still far from surpassing human expertise – An observational study. Am J Emerg Med. 2025;92:165–71. https://doi.org/10.1016/j.ajem.2025.03.028.

Article  PubMed  Google Scholar 

Seo JW, Park SJ, Kim YJ, Kim JY, Kim KG, Yoon YH. Artificial intelligence for severity triage based on conversations in an emergency department in Korea. Sci Rep. 2025;15(1):16870. Published 2025 May 15. https://doi.org/10.1038/s41598-025-99874-0.

Yi N, Baik D, Baek G. The effects of applying artificial intelligence to triage in the emergency department: a systematic review of prospective studies. J Nurs Scholarsh. 2025;57(1):105–18. https://doi.org/10.1111/jnu.13024.

Article  PubMed  Google Scholar 

Gundlack J, Thiel C, Negash S, et al. Patients’ perceptions of artificial intelligence acceptance, challenges, and use in medical care: qualitative study. J Med Internet Res. 2025;27:e70487. https://doi.org/10.2196/70487.

Article  PubMed  PubMed Central  Google Scholar 

Curzon J, Kosa TA, Akalu R, et al. Privacy and artificial intelligence. IEEE Trans Artif Intell. 2021;2(2):96–108. https://doi.org/10.1109/tai.2021.3088084.

Article  Google Scholar 

Thian YL, Ng DW, Hallinan JTPD, et al. Effect of training data volume on performance of convolutional neural network pneumothorax classifiers. J Digit Imaging. 2022;35(4):881–92. https://doi.org/10.1007/s10278-022-00594-y.

Article  PubMed  PubMed Central  Google Scholar 

Koteluk O, Wartecki, Mazurek A, et al. How do machines learn? Artificial intelligence as a new era in medicine. Dig J Pers Med. 2021;11(1):32. https://doi.org/10.3390/jpm11010032.

Article  Google Scholar 

Ohaiba MM, Anamazobi EG, Okobi OE, et al. Trends and patterns in emergency department visits: a comprehensive analysis of adult data from the national center for health statistics (NCHS) database. Cureus. 2024;16(8):e66059. https://doi.org/10.7759/cureus.66059.

Article  PubMed  PubMed Central  Google Scholar 

Manti S, Licari A. How to obtain informed consent for research. Breathe (Sheff). 2018;14(2):145–52. https://doi.org/10.1183/20734735.001918.

Article  PubMed  PubMed Central  Google Scholar 

Hinson JS, Levin SR, Steinhart BD, et al. Enhancing emergency department triage equity with artificial intelligence: outcomes from a multisite implementation. Ann Emerg Med. 2025;85(3):288–90. https://doi.org/10.1016/j.annemergmed.2024.10.014.

Article  PubMed  Google Scholar 

Wang H, Sambamoorthi N, Hoot N, et al. Evaluating fairness of machine learning prediction of prolonged wait times in emergency department with interpretable eXtreme gradient boosting. PLoS Digit Health. 2025;4(3):e0000751. https://doi.org/10.1371/journal.pdig.0000751.

Article  PubMed  PubMed Central  Google Scholar 

Zheng J, Zhang T. Association between AI awareness and emotional exhaustion: the serial mediation of job insecurity and work interference with family. Behav Sci. 2025;15(4):401. https://doi.org/10.3390/bs15040401.

Article  PubMed  PubMed Central  Google Scholar 

Kim BJ, Kim MJ. How artificial intelligence-induced job insecurity shapes knowledge dynamics: the mitigating role of artificial intelligence self-efficacy. Journal of Innovation & Knowledge. 2024;9(4):100590. https://doi.org/10.1016/j.jik.2024.100590.

Article  Google Scholar 

Jarvis PRE. Improving emergency department patient flow. Clin Exp Emerg Med. 2024;3(2):63–8. https://doi.org/10.15441/ceem.16.127.

Article  Google Scholar 

Friedman AB, Delgado MK, Weissman GE. Artificial intelligence for emergency care triage—much promise, but still much to learn. JAMA Netw Open. 2024;7(5):e248857. https://doi.org/10.1001/jamanetworkopen.2024.8857.

Article  PubMed  Google Scholar 

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