Wilson F P, Wilson L O, Butler A B, Canales L
JAMA. 1980 Apr 18;243(15):1528-31.
An Army corpsman used physician-written triage algorithms to rate the urgency of the chief complaints of 2,000 pediatric outpatients. His ratings agreed with subsequent ratings by physicians in 84% of cases. The corpsman assigned a higher care urgency classification in 15% of cases and a lower classification in only 1.2% of cases. No danger to patients resulted from the algorithm-directed screening. Use of a "nonprofessional" as a triage agent spares the pediatrician, pediatric nurse practitioner, and nurse for providing health care. With increasing use of acute care facilities by patients without appointments, physician-written algorithms allow triage agents who lack formal medical training to determine safely the need for care of patients.
一名陆军卫生员使用医生编写的分诊算法对2000名儿科门诊患者的主要症状紧急程度进行评级。在84%的病例中，他的评级与医生随后的评级一致。该卫生员在15%的病例中分配了更高的护理紧急程度分类，而在仅1.2%的病例中分配了更低的分类。基于算法的筛查未对患者造成危险。使用“非专业人员”作为分诊人员，使儿科医生、儿科执业护士和护士得以抽身提供医疗保健服务。随着无预约患者对急症护理设施的使用增加，医生编写的算法使缺乏正规医学培训的分诊人员能够安全地确定患者的护理需求。
