Capture accurate acuity, triage safer: Almost 1/3 of current ESI assignments are incorrect*
Triage intake record
Jane Doe78F · MRN 4419087 · Bed 04 · Arrived 14:22
Ambient mic active
HR
118
Tachycardic
BP
92/58
Hypotensive
RR
24
Elevated
Temp
101.8°
Oral
SpO2
94%
Room air
Pain
4/10
Reported
Conversation3 of 10 utterances
Extracted
Allergies
Penicillinrash
SulfaGI upset
Code status
Full · Reviewed 02 Jun 2026
History
Medical
Type 2 diabetes (2009)
Hypertension
Atrial fibrillation on apixaban
CKD stage 3
Recurrent UTI
Surgical
Cholecystectomy 2016
Right total knee arthroplasty 2019
Appendectomy 1974
Medications
Lisinopril 10 mg daily
Metformin 500 mg BID
Apixaban 5 mg BID
Atorvastatin 20 mg nightly
Social
Never smoker · No alcohol · Lives with daughter
Captured from EHR at 14:26
DEADLINE CLOCKSepsis 1-hour bundle39:09 remaining
DEADLINE CLOCKPediatric sepsis43:58 remaining
DEADLINE CLOCKECG01:34 over
DEADLINE CLOCKStroke16:22 remaining
INITIATE WORKUP FROM TRIAGE
Lactate, blood cultures x2
CBC, CMP, procalcitonin
Urinalysis + urine culture
Chest X-ray
12-lead ECG
IV access x2, fluid bolus per protocol
Reassess vitals q30min
NURSING INTERVENTIONS
Continuous cardiac and SpO2 monitoring
Supplemental O2 to keep SpO2 ≥ 94%
Antipyretic per standing order
Strict intake/output, Foley if indicated
Fall and delirium precautions
Notify MD for MAP < 65 or new hypoxia
↑
Patient throughput
↑
Triage accuracy
↑
Patient satisfaction
ED Triage Copilot
↓
Time to critical alerts
↓
Door to doc time
↓
Time to ECG
↓
RN/Doc documentation time
↓
Sepsis bundle time
↓
Missed diagnosis rate
↓
Length of stay
↓
LWOBS
Expected effect
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Current build
Working on validation and system architecture.
Future plans
HIPAA and SOC 2 compliance
Native connection into EHRs
Ambient voice-to-text recognition
* (Sax et al., JAMA Network Open, 2023 — 21 Kaiser Permanente EDs, 5M+ adult visits, 2016–20). The remaining 28% splits into over-triage (25%, wastes ED resources) and under-triage (3%, the smaller share but the one that misses critical illness and delays care).