{"id":"https://openalex.org/W7126429322","doi":"https://doi.org/10.1093/eurjcn/zvaf250","title":"Positioning the front-door-score tool for NSTEMI in emergency departments","display_name":"Positioning the front-door-score tool for NSTEMI in emergency departments","publication_year":2025,"publication_date":"2025-12-19","ids":{"openalex":"https://openalex.org/W7126429322","doi":"https://doi.org/10.1093/eurjcn/zvaf250","pmid":"https://pubmed.ncbi.nlm.nih.gov/41619771"},"language":"en","primary_location":{"id":"doi:10.1093/eurjcn/zvaf250","doi":"https://doi.org/10.1093/eurjcn/zvaf250","is_oa":false,"landing_page_url":"https://doi.org/10.1093/eurjcn/zvaf250","pdf_url":null,"source":{"id":"https://openalex.org/S178548257","display_name":"European Journal of Cardiovascular Nursing","issn_l":"1474-5151","issn":["1474-5151","1873-1953"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Cardiovascular Nursing","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5044327401","display_name":"Evangeline D. Loh","orcid":"https://orcid.org/0009-0003-5377-1669","observed_orcids":["https://orcid.org/0009-0003-5377-1669"]},"institutions":[{"id":"https://openalex.org/I4210146690","display_name":"National University Hospital","ror":"https://ror.org/04fp9fm22","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I165932596","https://openalex.org/I4210146690","https://openalex.org/I4210150261"]},{"id":"https://openalex.org/I4210150261","display_name":"National University Health System","ror":"https://ror.org/05tjjsh18","country_code":"SG","type":"education","lineage":["https://openalex.org/I165932596","https://openalex.org/I4210150261"]}],"countries":["SG"],"is_corresponding":true,"raw_author_name":"Evangeline Loh","raw_affiliation_strings":["Nursing Department, National University Hospital, National University Health System , Evangeline Loh, 5 Lower Kent Ridge Rd, Singapore 119074 ,"],"raw_orcid":"https://orcid.org/0009-0003-5377-1669","affiliations":[{"raw_affiliation_string":"Nursing Department, National University Hospital, National University Health System , Evangeline Loh, 5 Lower Kent Ridge Rd, Singapore 119074 ,","institution_ids":["https://openalex.org/I4210146690","https://openalex.org/I4210150261"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5124616125","display_name":"Kuan Win Sen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I165932596","display_name":"National University of Singapore","ror":"https://ror.org/01tgyzw49","country_code":"SG","type":"education","lineage":["https://openalex.org/I165932596"]},{"id":"https://openalex.org/I4210146690","display_name":"National University Hospital","ror":"https://ror.org/04fp9fm22","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I165932596","https://openalex.org/I4210146690","https://openalex.org/I4210150261"]},{"id":"https://openalex.org/I4210150261","display_name":"National University Health System","ror":"https://ror.org/05tjjsh18","country_code":"SG","type":"education","lineage":["https://openalex.org/I165932596","https://openalex.org/I4210150261"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"Kuan Win Sen","raw_affiliation_strings":["Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore , Singapore 119077 ,","Emergency Medicine Department, National University Hospital, National University Health System , Singapore 119074 ,"],"raw_orcid":"https://orcid.org/0000-0002-2134-7842","affiliations":[{"raw_affiliation_string":"Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore , Singapore 119077 ,","institution_ids":["https://openalex.org/I165932596"]},{"raw_affiliation_string":"Emergency Medicine Department, National University Hospital, National University Health System , Singapore 119074 ,","institution_ids":["https://openalex.org/I4210146690","https://openalex.org/I4210150261"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5033756912","display_name":"Wilson Tam","orcid":"https://orcid.org/0000-0003-0641-3060","observed_orcids":["https://orcid.org/0000-0003-0641-3060"]},"institutions":[{"id":"https://openalex.org/I165932596","display_name":"National University of Singapore","ror":"https://ror.org/01tgyzw49","country_code":"SG","type":"education","lineage":["https://openalex.org/I165932596"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"Wilson Tam","raw_affiliation_strings":["Alice Lee Centre for Nursing Studies (NUS Nursing), National University of Singapore , Singapore 119077 ,"],"raw_orcid":"https://orcid.org/0000-0003-0641-3060","affiliations":[{"raw_affiliation_string":"Alice Lee Centre for Nursing Studies (NUS Nursing), National University of Singapore , Singapore 119077 ,","institution_ids":["https://openalex.org/I165932596"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5044327401"],"corresponding_institution_ids":["https://openalex.org/I4210146690","https://openalex.org/I4210150261"],"apc_list":{"value":3355,"currency":"EUR","value_usd":3792},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"25","issue":"2","first_page":"386","last_page":"387"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.6963000297546387,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.6963000297546387,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.2937000095844269,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":0.005900000222027302,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/non-st-elevation-myocardial-infarction","display_name":"non-ST-elevation myocardial infarction","score":0.9580000042915344},{"id":"https://openalex.org/keywords/emergency-department-triage","display_name":"emergency department triage","score":0.9290000200271606},{"id":"https://openalex.org/keywords/nurse-triage","display_name":"nurse triage","score":0.7450000047683716},{"id":"https://openalex.org/keywords/acute-coronary-syndrome","display_name":"acute coronary syndrome","score":0.7440000176429749},{"id":"https://openalex.org/keywords/troponin","display_name":"troponin","score":0.6840000152587891},{"id":"https://openalex.org/keywords/timi-risk-score","display_name":"TIMI risk score","score":0.6359999775886536},{"id":"https://openalex.org/keywords/heart-score","display_name":"HEART score","score":0.7459999918937683},{"id":"https://openalex.org/keywords/grace-score","display_name":"GRACE risk score","score":0.7080000042915344},{"id":"https://openalex.org/keywords/diagnostic-uncertainty","display_name":"diagnostic uncertainty","score":0.5839999914169312},{"id":"https://openalex.org/keywords/resource-limited-settings","display_name":"resource-limited settings","score":0.640999972820282},{"id":"https://openalex.org/keywords/patient-safety","display_name":"patient safety","score":0.3790000081062317}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9053999781608582},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.6299999952316284},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.47099998593330383},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3472999930381775},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3411000072956085},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.3091000020503998},{"id":"https://openalex.org/C545288138","wikidata":"https://www.wikidata.org/wiki/Q860447","display_name":"Emergency medical services","level":2,"score":0.3070000112056732},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.2718999981880188},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.23260000348091125},{"id":"https://openalex.org/C2777120189","wikidata":"https://www.wikidata.org/wiki/Q780067","display_name":"Triage","level":2,"score":0.2296999990940094}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1093/eurjcn/zvaf250","doi":"https://doi.org/10.1093/eurjcn/zvaf250","is_oa":false,"landing_page_url":"https://doi.org/10.1093/eurjcn/zvaf250","pdf_url":null,"source":{"id":"https://openalex.org/S178548257","display_name":"European Journal of Cardiovascular Nursing","issn_l":"1474-5151","issn":["1474-5151","1873-1953"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Cardiovascular Nursing","raw_type":"journal-article"},{"id":"pmid:41619771","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41619771","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European journal of cardiovascular nursing","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.98580002784729,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":3,"referenced_works":["https://openalex.org/W2105397247","https://openalex.org/W4281780276","https://openalex.org/W7148290968"],"related_works":["https://openalex.org/W7148290968","https://openalex.org/W2093326686","https://openalex.org/W1946290277","https://openalex.org/W6996190257","https://openalex.org/W4289525386","https://openalex.org/W2981624193","https://openalex.org/W4409488455","https://openalex.org/W2888782285","https://openalex.org/W3195222929","https://openalex.org/W7117991507"],"abstract_inverted_index":{"This":[0,275,389,832,892],"invited":[1],"commentary":[2,893],"refers":[3],"to":[4,58,74,110,163,171,187,229,299,358,531,566,596,614,659,734,752,762,797],"\u2018A":[5],"retrospective":[6,536,590],"study":[7,194,235],"of":[8,11,32,66,123,138,141,211,223,273,277,319,328,331,341,379,422,429,475,482,492,528,553,611,623,631,638,669,682,699,715,725,771,781,788,805,840,845,889],"the":[9,36,64,124,202,209,329,332,337,344,377,403,427,438,488,493,535,540,569,584,589,609,616,621,624,661,667,676,722,774,779,799,803,838,841,884],"application":[10],"front":[12,157],"door":[13,158],"score":[14,159],"(FDS)":[15,160],"in":[16,21,35,63,91,177,181,208,286,363,651,705,711,743,760,766,802,850],"triaging":[17],"patients":[18,449,501,628,670,768,790,846],"with":[19,51,195,227,239,315,336,444,755,848],"NSTEMI":[20,397,496,789,849],"Hong":[22,182],"Kong\u2019,":[23],"by":[24,84,343,824],"H.Y.N.":[25],"Lui":[26,129],"et":[27,130],"al.,":[28],"https://doi.org/10.1093/eurjcn/zvaf198.":[29],"Nursing":[30],"triage":[31,149,175,203,255,342,357,606,702,737],"chest":[33,457],"pain":[34,458],"emergency":[37],"department":[38],"(ED)":[39],"is":[40,82,152,326,374,410,548],"a":[41,133,168,173,218,271,290,316,353,411,473,479,544,549,602,636,727,756],"time-critical":[42],"and":[43,68,71,89,97,118,135,246,265,306,365,384,495,519,557,604,618,649,689,708,741,785,812,870],"high-stakes":[44],"task.":[45],"It":[46],"must":[47],"balance":[48],"rapid":[49,139,382,786],"throughput":[50],"patient":[52,87,111],"safety.":[53],"Triage":[54],"nurses":[55,738],"are":[56,309,739,821],"first":[57],"assess":[59],"frequently":[60,103],"ambiguous":[61],"symptoms":[62],"midst":[65],"overcrowding":[67],"resource":[69],"constraints,":[70],"initiate":[72],"pathways":[73],"exclude":[75],"acute":[76,417,483],"coronary":[77,418,423],"syndrome":[78],"(ACS).":[79],"Diagnostic":[80],"uncertainty":[81],"compounded":[83],"atypical":[85],"presentations,":[86],"comorbidities,":[88],"delays":[90,521],"biomarker":[92],"availability.":[93],"While":[94],"electrocardiograms":[95],"(ECGs)":[96],"protocols":[98],"guide":[99],"care,":[100],"early":[101],"decisions":[102],"precede":[104],"troponin":[105,151,206],"results.":[106],"Missed":[107],"ACS":[108],"leads":[109],"harm,":[112],"whereas":[113],"over-triage":[114,811],"strains":[115],"beds,":[116],"diagnostics,":[117],"staff.":[119],"In":[120],"this":[121,193,652,890],"issue":[122],"Eur":[125],"J":[126],"Cardiovasc":[127],"Nurs,":[128],"al.":[131],"address":[132],"practical":[134],"important":[136],"problem":[137],"identification":[140,787],"non-ST":[142],"elevation":[143],"myocardial":[144,484,555],"infarction":[145],"(NSTEMI)":[146],"at":[147,167,310,356,387,472,629,692,769,791],"ED":[148,303,511,783],"when":[150],"not":[153,400,593,822,895],"immediately":[154],"available.1":[155],"The":[156,184,234,258,295,348,368,526,578,746,877],"was":[161,297,635,695],"shown":[162],"be":[164,188,300,323,503,575,657,687,732,753,830],"highly":[165],"sensitive":[166],"low":[169,489],"cut-off":[170,272],"support":[172,882],"safety-focused":[174],"orientation":[176],"three":[178],"public":[179,220],"EDs":[180],"Kong.":[183],"authors":[185,579,878],"need":[186],"commended":[189],"for":[190,289,376,416,441,465,522,608,883],"embarking":[191],"on":[192,201,582,626,679,758],"clear":[196],"clinical":[197],"motivation":[198],"that":[199,321,588,736],"focused":[200],"window":[204],"before":[205],"results":[207,259,405],"setting":[210],"real":[212],"constraints.":[213],"Their":[214],"multi-centre":[215],"sampling":[216],"from":[217,293,534],"large":[219],"system,":[221],"use":[222],"experienced":[224],"nurse":[225],"abstraction":[226],"blinding":[228],"outcomes,":[230,640],"reduces":[231],"incorporation":[232],"bias.":[233],"compared":[236],"FDS":[237,296,494,542,663,677,775,800],"conceptually":[238],"validated":[240],"scores,":[241],"such":[242,641,726],"as":[243,251,452,543,642],"HEART,":[244],"TIMI,":[245,445],"GRACE,":[247],"placing":[248],"its":[249,807],"role":[250],"an":[252,283],"early,":[253],"troponin-independent":[254],"screening":[256],"tool.":[257,546,728],"showed":[260],"good":[261],"discrimination":[262],"(AUC":[263],"0.816)":[264],"very":[266,349],"high":[267,350,453],"sensitivity":[268,351],"(99.8%)":[269],"using":[270],"\u22651.":[274],"body":[276],"work":[278,581],"contributes":[279],"East":[280],"Asian":[281],"data,":[282],"under-represented":[284],"population":[285],"validation":[287],"work,":[288],"tool":[291,390,625,776,801],"derived":[292],"TIMI.":[294],"designed":[298],"fit-for-purpose":[301],"where":[302,568],"congestion,":[304],"staffing,":[305],"decision":[307],"pressure":[308],"their":[311,764],"highest.":[312],"Its":[313],"simplicity,":[314],"short":[317],"list":[318],"variables":[320],"can":[322,686,720,835],"assessed":[324],"rapidly,":[325],"one":[327,834],"strengths":[330],"tool,":[333],"which":[334,685],"aligns":[335],"recommended":[338],"2\u20135":[339],"min":[340],"Emergency":[345],"Nurses":[346],"Association.2":[347],"provides":[352],"safety":[354,668,825],"net":[355],"avoid":[359],"missing":[360],"NSTEMI,":[361],"especially":[362,666],"resource-limited":[364],"high-throughput":[366],"settings.":[367],"FDS\u2019s":[369],"concise,":[370],"objective":[371],"item":[372],"set":[373],"tailored":[375],"realities":[378],"triage,":[380],"supporting":[381],"use,":[383],"smooth":[385],"implementation":[386],"scale.":[388],"works":[391,777],"effectively":[392,538],"because":[393],"it":[394,655],"captures":[395],"what":[396,402],"really":[398],"is,":[399],"just":[401],"laboratory":[404],"later":[406],"confirm.":[407],"Age":[408],"\u226565":[409],"well-established,":[412],"non-modifiable":[413],"risk":[414,433,630,770],"factor":[415],"events.3":[419],"A":[420],"history":[421],"artery":[424],"disease,":[425],"or":[426],"accumulation":[428],"\u22653":[430],"traditional":[431],"CAD":[432],"factors,":[434],"reflects":[435],"underlying":[436],"atherosclerosis,":[437],"principal":[439],"substrate":[440],"NSTEMI.4":[442],"Consistent":[443],"recent":[446],"aspirin-use":[447],"flags":[448],"already":[450],"recognized":[451],"risk,":[454],"while":[455],"recurrent":[456],"within":[459],"24":[460],"h":[461],"further":[462,813],"heightens":[463],"concern":[464],"ongoing":[466,554],"ischaemia.5":[467],"Finally,":[468],"ischaemic":[469],"ECG":[470,680,713,744],"changes":[471],"threshold":[474],"\u22650.5":[476,716],"mm":[477,717],"remain":[478],"gold-standard":[480],"marker":[481],"ischaemia.6":[485],"Nonetheless,":[486],"given":[487],"specificity":[490],"(14.5%)":[491],"prevalence":[497],"(3%),":[498],"many":[499],"non-NSTEMI":[500],"will":[502],"escalated.":[504],"Unmeasured":[505],"downstream":[506],"negative":[507],"effects":[508],"like":[509],"increased":[510],"bed":[512],"utilization,":[513],"repeat":[514],"ECGs,":[515],"urgent":[516],"imaging,":[517],"overcrowding,":[518],"door-to-consult":[520],"others":[523],"could":[524,562,574,600],"ensue.":[525],"omission":[527],"angina":[529,612],"due":[530],"documentation":[532,610],"inconsistency":[533],"design":[537,591],"renders":[539],"evaluated":[541],"modified":[545],"Angina":[547],"classic":[550],"warning":[551],"sign":[552],"ischaemia":[556],"often":[558],"precedes":[559],"NSTEMI.7":[560],"Issues":[561],"arise":[563],"about":[564],"applicability":[565],"sites":[567],"original":[570],"FDS,":[571,586],"including":[572],"angina,":[573],"captured":[576],"reliably.":[577],"should":[580,731,748,795,829],"restoring":[583],"full":[585],"noting":[587],"does":[592,894],"allow":[594],"researchers":[595],"deduce":[597],"fairly.":[598],"Authors":[599],"implement":[601],"mandatory":[603],"standardized":[605],"template":[607],"events,":[613,647],"optimize":[615],"potential":[617],"accurately":[619],"measure":[620],"impact":[622,662],"identifying":[627,767],"NSTEMI.":[632,772],"Next,":[633],"there":[634],"lack":[637],"patient-important":[639,827],"30-day":[643],"major":[644],"adverse":[645],"cardiac":[646],"readmission,":[648],"mortality":[650],"study.":[653],"Therefore,":[654],"may":[656],"difficult":[658],"ascertain":[660],"would":[664],"have,":[665],"who":[671],"were":[672],"\u2018not":[673],"escalated\u2019.":[674],"Lastly,":[675],"relies":[678],"interpretation":[681],"ST-segment":[683],"changes,":[684],"subtle":[688],"reader":[690],"dependent":[691],"triage.":[693,792],"There":[694],"no":[696,880],"formal":[697],"assessment":[698],"reproducibility":[700],"across":[701],"nurses.":[703],"Inconsistencies":[704],"inter-rater":[706],"reliability":[707],"operational":[709,819],"feasibility":[710],"interpreting":[712],"thresholds":[714],"ST":[718],"deviation":[719],"affect":[721],"broader":[723],"rollout":[724],"Mandatory":[729],"education":[730],"conducted":[733],"ensure":[735,818],"competent":[740],"consistent":[742],"interpretation.":[745],"protocol":[747],"require":[749],"all":[750],"ECGs":[751],"second-checked":[754],"clinician":[757],"duty,":[759],"order":[761],"safeguard":[763,837],"relevance":[765],"Here,":[773],"towards":[778],"promises":[780],"streamlining":[782],"workflows":[784],"Future":[793],"studies":[794],"aim":[796],"restore":[798],"hope":[804],"increasing":[806],"specificity,":[808],"thereby":[809],"preventing":[810],"straining":[814],"hospital":[815],"resources.":[816],"To":[817],"gains":[820],"offset":[823],"issues,":[826],"outcomes":[828,844],"monitored.":[831],"way,":[833],"truly":[836],"purpose":[839],"initiative,":[842],"improving":[843],"presenting":[847],"EDs.":[851],"Evangeline":[852],"Loh":[853],"(Conceptualization":[854],"[lead],":[855,858],"Writing\u2014original":[856],"draft":[857],"Writing\u2014review":[859],"&":[860,867,874],"editing":[861,868,875],"[lead]),":[862],"Win":[863],"Sen":[864],"Kuan":[865],"(Writing\u2014review":[866,873],"[equal]),":[869],"Wilson":[871],"Tam":[872],"[supporting]).":[876],"received":[879],"financial":[881],"research,":[885],"authorship,":[886],"and/or":[887],"publication":[888],"article.":[891],"contain":[896],"new":[897],"data.":[898]},"counts_by_year":[],"updated_date":"2026-10-08T09:06:37.294493","created_date":"2026-02-02T00:00:00"}
