Under-triage of urgent patients
Validation already shows 8% of category 1–2 patients under-triaged; the pilot shows 19 later upgrades.
Step 6 of 12Risk flags
Compare with the red-team review
Sign in to save your workCompare your analysis with the red-team review. Each flag is a line of enquiry, not a conclusion.
Atypical presentations
Symptoms described differently, such as heart attacks in women, may be scored as minor.
Nurse review not timely
Only 71% of audited reviews happened within 15 minutes, and the late ones are when the risk is highest.
Automation bias
61% of nurses say they usually accept the suggestion when busy.
Untested population
Children, translated text and non-English speakers were never validated.
No boundary enforcement
The kiosk does not stop a child being registered as an adult.
Confidence not understood
Low confidence is displayed but triggers nothing, and nurses do not understand it.
Safety case unsigned
The hospital is running and extending a clinical system without an approved safety case.
Pressure to extend
Plans to extend to children and remove a second nurse at night increase severity.
Regulatory status unclear
Triage software may be a regulated medical device; its status has not been confirmed.
What did you find, and what did you miss?
Which of these did your earlier analysis already cover?
Which did you miss? What does each change about your assessment?
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