e.g. mhealth
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Virtual care models that integrate registered nurse (RN) triage with rapid access to same-day virtual visits with clinicians are a relatively new and growing innovation in health care delivery. Traditionally, telephone advice lines have focused on RN-led triage and care navigation.
J Med Internet Res 2025;27:e80656
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This study [1] aimed to evaluate the triage performance and history-taking quality of an adaptive-questioning symptom checker called Care Route. Care Route is designed to help improve health outcomes and reduce health care costs.
JMIRx Med 2025;6:e85624
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Factors Influencing the Use of Online Symptom Checkers in the United Kingdom: Cross-Sectional Study
By providing preliminary diagnostic guidance and triage recommendations, these tools could potentially alleviate some of the burdens on health care systems with the potential to reduce unnecessary health care visits by providing timely medical advice and empowering individuals to make informed decisions about their health [10-12]. Despite this, the diagnostic and triage accuracy varies greatly among OSCs, thus raising concerns and calling for caution [13].
JMIR Form Res 2025;9:e65314
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In particular, several studies have explored the role of patient-completed symptom checkers in supporting triage at the ED front door [8,9,39]. While self-triage CDAs for unselected presentations have been found to perform inadequately [39], quantitative assessments of acceptability and utility in this setting have generally shown patients are willing and able to interact with such tools [8,9].
JMIR Form Res 2025;9:e67608
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AI engines have been proposed for use in Mohs micrographic surgery (MMS) to assist with perioperative planning, patient education, triage, and documentation [2]. These applications exemplify the benefits that AI offers by providing individualized responses and reducing administrative burdens.
As of April 2024, a pilot program in Louisiana incorporated Chat GPT-4.0 into electronic health record (EHR) messaging to generate preliminary responses that clinicians subsequently reviewed for validity [3].
JMIR Dermatol 2025;8:e72706
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Reference 23: Clinical decision-support for acute burn referral and triage at specialized centres - contributiontriage
JMIR Hum Factors 2025;12:e56300
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However, misclassification remains a significant concern, prompting questions about whether the time-saving benefits of digital triage extend to improvements in patient outcomes and safety. Studies have reported instances of under-triage and over-triage with digital triage systems [21]. Under-triage is perhaps the more safety-critical concern, potentially delaying care for individuals with urgent clinical problems.
J Med Internet Res 2025;27:e69528
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A potential solution is to use diagnosis codes, which provide a clear and comprehensive reflection of a patient’s care needs compared to triage information. Using diagnosis codes provides a framework to understand population-level needs that may inform emergency care service delivery.
J Med Internet Res 2025;27:e73758
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Remote physiotherapist-led MSK triage is widely used to stratify patients to the correct level of care, and has proven effective in reducing waiting times, unwarranted variation in clinical pathways, clinician caseload, and cost [6-8]. However, the principal rate-limiting factor in delivering triage is the availability of staff [9].
J Med Internet Res 2025;27:e67269
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Key inclusion criteria were self-referred walk-in patients aged 18 years or older with sufficient German or English language proficiency, the ability to provide informed consent, and a treatment urgency rating of yellow, green, or blue according to the Manchester Triage System (ie, MTS 3-5, respectively) as assigned by the triage nurse.
J Med Internet Res 2025;27:e64028
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