Examine the evidence pack

Pilot extension paper

From: Emergency Department Operations Director

The pilot has reduced average time to first triage from 11 to 4 minutes. We propose extending it to the paediatric emergency department and using it at night without a second triage nurse.

• Extension planned before the safety case is signed off
• Paediatric use is outside the validated population

TriageLogic validation (extract)

• 8% of the most urgent patients were under-triaged in validation
• The hospital has not replicated the results locally

Nine-week pilot figures

From: ED performance team

Serious incident SI-0417 (summary)

A 58-year-old woman reported jaw pain, nausea and tiredness at the kiosk. CareAssist suggested category 4 with medium confidence. The nurse confirmation was recorded 52 minutes later, during a busy period. She waited 2 hours 40 minutes and was then diagnosed with a heart attack.

• Atypical heart-attack symptoms are more common in women
• No alert fired for the late nurse confirmation
• Investigation not yet concluded

Triage nurse survey (22 responses)

• 61%: 'When it is busy I usually accept the suggestion'
• 45%: 'I am not sure what the confidence level means'
• 32%: 'I have never been trained on what CareAssist gets wrong'

Clinical safety case and hazard log

• Hazard log in draft, 14 hazards identified, 5 without controls
• Clinical Safety Officer has not signed the safety case
• No agreed process for reporting suspected AI errors