Evidence map›Paper›PMID 40862259›Full record

ArticleSAGE open medicine2025

The effect of centrality bias on triage nurses in the emergency department.

Dor Shlenger, Aya Cohen, Guy Hochman, Gal Pachys, Daniel Trotzky

Abstract read
In one paragraph

Article in SAGE open medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Dor ShlengerTiomkin School of Economics, Reichman University, Herzliya, Tel Aviv, Israel.
Aya CohenDepartment of Emergency Medicine, Shamir Medical Center (Formerly Assaf Harofeh), Zerifin, Israel.ORCID https://orcid.org/0000-0003-1996-3571
Guy HochmanBaruch Ivcher School of Psychology, Reichman University, Herzliya, Tel Aviv, Israel.
Gal PachysDivision of Emergency Medicine, Shaare Zedek Medical Center, Jerusalem, Israel.
Daniel TrotzkyMedical Management, Tel Aviv Sourasky Medical Center, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate whether centrality bias is one of the contributing factors for patient mistriage in the emergency department. Methods: A randomized, controlled, single-blinded trial was conducted in an emergency department triage station between April 1 and November 3, 2021. Experienced triage nurses were divided into control and treatment groups. The control group triaged patients using the Canadian Triage and Acuity Scale 1-5 triage scale, and the treatment group used a four-level triage scale (created by removing level 3 from the original Canadian Triage and Acuity Scale). Neither group was exposed to the other's ranking and the control group determined the patient's actual triage ranking. The accuracy of each group's ranking was determined by triage experts. Triage nurses' levels of confidence was investigated, as was the correlation between triage ranking accuracy and confidence level. Results: After excluding 58 patients with missing data, 146 assessments were analyzed. Statistical analysis was performed to compare three different aspects of triage rankings between the nurses' groups and the control group. In the first and second analyses, accuracy levels of 49% and 68% ( Conclusions: Central tendency has the potential to affect the accuracy of ranking among triage nurses in the emergency department. Further research is needed.

Indexed as

behavioral sciencescentrality biasCTASdecision-makingemergency medicinetriage

Identifiers

PMID40862259
PMCPMC12375153

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.