Abstract
Despite attempts to limit triage subjectivity through use of the emergency severity index (ESI) algorithm, it is possible for implicit or explicit bias to impact acuity assignment. Across our health system, ESI is assigned by trained emergency registered nurses (RNs). Documented demographic characteristics, such as race and ethnicity, are often based upon perception rather than direct patient query. We sought to assess the impact of perceived race on emergency department (ED) ESI score assigned at triage across our 9- ED health system.
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