{"id":"https://openalex.org/W7167515501","doi":"https://doi.org/10.1016/j.ienj.2026.101923","title":"Mapping the evidence on implementation of clinical decision support systems in nurses' reverse triage decisions during disaster surges: A scoping review with a proposed conceptual framework","display_name":"Mapping the evidence on implementation of clinical decision support systems in nurses' reverse triage decisions during disaster surges: A scoping review with a proposed conceptual framework","publication_year":2026,"publication_date":"2026-11-02","ids":{"openalex":"https://openalex.org/W7167515501","doi":"https://doi.org/10.1016/j.ienj.2026.101923","pmid":"https://pubmed.ncbi.nlm.nih.gov/42971026"},"language":"en","primary_location":{"id":"doi:10.1016/j.ienj.2026.101923","doi":"https://doi.org/10.1016/j.ienj.2026.101923","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.ienj.2026.101923","pdf_url":null,"source":{"id":"https://openalex.org/S531269","display_name":"International Emergency Nursing","issn_l":"1755-599X","issn":["1755-599X","1878-013X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Emergency Nursing","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","datacite","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://osf.io/vkrhu","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5045963056","display_name":"Sehabudin Salasa","orcid":"https://orcid.org/0000-0002-6201-5748","observed_orcids":["https://orcid.org/0000-0002-6201-5748"]},"institutions":[{"id":"https://openalex.org/I130218214","display_name":"Indonesia University of Education","ror":"https://ror.org/044b0xj37","country_code":"ID","type":"education","lineage":["https://openalex.org/I130218214"]}],"countries":["ID"],"is_corresponding":true,"raw_author_name":"Sehabudin Salasa","raw_affiliation_strings":["Department of Nursing, Faculty of Sport and Health Education, Universitas Pendidikan Indonesia, Bandung, West Java, Indonesia. Electronic address: kang_sehab@upi.edu"],"raw_orcid":"https://orcid.org/0000-0002-6201-5748","affiliations":[{"raw_affiliation_string":"Department of Nursing, Faculty of Sport and Health Education, Universitas Pendidikan Indonesia, Bandung, West Java, Indonesia. Electronic address: kang_sehab@upi.edu","institution_ids":["https://openalex.org/I130218214"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052100557","display_name":"Dhika Dharmansyah","orcid":"https://orcid.org/0000-0001-6338-3852","observed_orcids":["https://orcid.org/0000-0001-6338-3852"]},"institutions":[{"id":"https://openalex.org/I130218214","display_name":"Indonesia University of Education","ror":"https://ror.org/044b0xj37","country_code":"ID","type":"education","lineage":["https://openalex.org/I130218214"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Dhika Dharmansyah","raw_affiliation_strings":["Department of Nursing, Faculty of Sport and Health Education, Universitas Pendidikan Indonesia, Bandung, West Java, Indonesia"],"raw_orcid":"https://orcid.org/0000-0001-6338-3852","affiliations":[{"raw_affiliation_string":"Department of Nursing, Faculty of Sport and Health Education, Universitas Pendidikan Indonesia, Bandung, West Java, Indonesia","institution_ids":["https://openalex.org/I130218214"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060603555","display_name":"Suci Tuty Putri","orcid":"https://orcid.org/0000-0002-8041-1365","observed_orcids":["https://orcid.org/0000-0002-8041-1365"]},"institutions":[{"id":"https://openalex.org/I130218214","display_name":"Indonesia University of Education","ror":"https://ror.org/044b0xj37","country_code":"ID","type":"education","lineage":["https://openalex.org/I130218214"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Suci Tuty Putri","raw_affiliation_strings":["Department of Nursing, Faculty of Sport and Health Education, Universitas Pendidikan Indonesia, Bandung, West Java, Indonesia"],"raw_orcid":"https://orcid.org/0000-0002-8041-1365","affiliations":[{"raw_affiliation_string":"Department of Nursing, Faculty of Sport and Health Education, Universitas Pendidikan Indonesia, Bandung, West Java, Indonesia","institution_ids":["https://openalex.org/I130218214"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066295825","display_name":"Sri Sumartini","orcid":"https://orcid.org/0000-0003-0707-8452","observed_orcids":["https://orcid.org/0000-0003-0707-8452"]},"institutions":[{"id":"https://openalex.org/I130218214","display_name":"Indonesia University of Education","ror":"https://ror.org/044b0xj37","country_code":"ID","type":"education","lineage":["https://openalex.org/I130218214"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Sri Sumartini","raw_affiliation_strings":["Department of Nursing, Faculty of Sport and Health Education, Universitas Pendidikan Indonesia, Bandung, West Java, Indonesia"],"raw_orcid":"https://orcid.org/0000-0003-0707-8452","affiliations":[{"raw_affiliation_string":"Department of Nursing, Faculty of Sport and Health Education, Universitas Pendidikan Indonesia, Bandung, West Java, Indonesia","institution_ids":["https://openalex.org/I130218214"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5063656569","display_name":"Yogasliana Fathudin","orcid":"https://orcid.org/0009-0007-7719-6071","observed_orcids":["https://orcid.org/0009-0007-7719-6071"]},"institutions":[{"id":"https://openalex.org/I4405258691","display_name":"Poltekkes Kemenkes Bandung","ror":"https://ror.org/012kqgs25","country_code":"ID","type":"education","lineage":["https://openalex.org/I4405258691"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Yogasliana Fathudin","raw_affiliation_strings":["Nursing Department, Poltekkes Kemenkes Bandung, Bandung, West Java, Indonesia"],"raw_orcid":"https://orcid.org/0009-0007-7719-6071","affiliations":[{"raw_affiliation_string":"Nursing Department, Poltekkes Kemenkes Bandung, Bandung, West Java, Indonesia","institution_ids":["https://openalex.org/I4405258691"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5045963056"],"corresponding_institution_ids":["https://openalex.org/I130218214"],"apc_list":{"value":2900,"currency":"USD","value_usd":2900},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.35698448,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"89","issue":null,"first_page":"101923","last_page":"101923"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.486299991607666,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.486299991607666,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11430","display_name":"Disaster Response and Management","score":0.37209999561309814,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.06669999659061432,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/clinical-decision-support-systems","display_name":"clinical decision support systems","score":1.0},{"id":"https://openalex.org/keywords/reverse-triage","display_name":"reverse triage","score":0.9819999933242798},{"id":"https://openalex.org/keywords/nursing-decision-making","display_name":"nursing decision-making","score":0.6389999985694885},{"id":"https://openalex.org/keywords/emergency-department-triage","display_name":"emergency department triage","score":0.8100000023841858},{"id":"https://openalex.org/keywords/mental-workload","display_name":"mental workload","score":0.8690000176429749},{"id":"https://openalex.org/keywords/decision-making-accuracy","display_name":"decision accuracy","score":0.5720000267028809},{"id":"https://openalex.org/keywords/conceptual-framework","display_name":"conceptual framework","score":0.7649999856948853},{"id":"https://openalex.org/keywords/evidence-gap-mapping","display_name":"evidence gap mapping","score":0.37400001287460327}],"concepts":[{"id":"https://openalex.org/C2777120189","wikidata":"https://www.wikidata.org/wiki/Q780067","display_name":"Triage","level":2,"score":0.9286999702453613},{"id":"https://openalex.org/C2780801425","wikidata":"https://www.wikidata.org/wiki/Q5164392","display_name":"Construct (python library)","level":2,"score":0.6912999749183655},{"id":"https://openalex.org/C107327155","wikidata":"https://www.wikidata.org/wiki/Q330268","display_name":"Decision support system","level":2,"score":0.6328999996185303},{"id":"https://openalex.org/C14224292","wikidata":"https://www.wikidata.org/wiki/Q13600188","display_name":"Conceptual framework","level":2,"score":0.5813999772071838},{"id":"https://openalex.org/C63527458","wikidata":"https://www.wikidata.org/wiki/Q5133829","display_name":"Clinical decision support system","level":3,"score":0.5604000091552734},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.38960000872612},{"id":"https://openalex.org/C62555980","wikidata":"https://www.wikidata.org/wiki/Q1460420","display_name":"Emergency management","level":2,"score":0.38659998774528503},{"id":"https://openalex.org/C13606891","wikidata":"https://www.wikidata.org/wiki/Q2623243","display_name":"Conceptual model","level":2,"score":0.38499999046325684},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.3781000077724457},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.37389999628067017},{"id":"https://openalex.org/C2989179672","wikidata":"https://www.wikidata.org/wiki/Q6806500","display_name":"Clinical decision making","level":2,"score":0.35600000619888306},{"id":"https://openalex.org/C2778568292","wikidata":"https://www.wikidata.org/wiki/Q7727275","display_name":"The Conceptual Framework","level":3,"score":0.3495999872684479},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.34150001406669617},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.34139999747276306},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.34119999408721924},{"id":"https://openalex.org/C2987404301","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care","level":2,"score":0.31690001487731934},{"id":"https://openalex.org/C2780033181","wikidata":"https://www.wikidata.org/wiki/Q24962805","display_name":"Decision aids","level":3,"score":0.31299999356269836},{"id":"https://openalex.org/C168167062","wikidata":"https://www.wikidata.org/wiki/Q1117970","display_name":"Component (thermodynamics)","level":2,"score":0.3100000023841858},{"id":"https://openalex.org/C200287777","wikidata":"https://www.wikidata.org/wiki/Q830115","display_name":"Concept map","level":2,"score":0.2980000078678131},{"id":"https://openalex.org/C3018653863","wikidata":"https://www.wikidata.org/wiki/Q5281355","display_name":"Disaster response","level":3,"score":0.2879999876022339},{"id":"https://openalex.org/C545288138","wikidata":"https://www.wikidata.org/wiki/Q860447","display_name":"Emergency medical services","level":2,"score":0.271699994802475},{"id":"https://openalex.org/C19648533","wikidata":"https://www.wikidata.org/wiki/Q691640","display_name":"Evidence-based medicine","level":3,"score":0.26980000734329224},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.2667999863624573},{"id":"https://openalex.org/C539667460","wikidata":"https://www.wikidata.org/wiki/Q2414942","display_name":"Management science","level":1,"score":0.26080000400543213},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2574000060558319},{"id":"https://openalex.org/C2779272995","wikidata":"https://www.wikidata.org/wiki/Q2274060","display_name":"Disaster medicine","level":4,"score":0.25279998779296875},{"id":"https://openalex.org/C141330323","wikidata":"https://www.wikidata.org/wiki/Q2354820","display_name":"Evidence-based practice","level":3,"score":0.2515999972820282}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1016/j.ienj.2026.101923","doi":"https://doi.org/10.1016/j.ienj.2026.101923","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.ienj.2026.101923","pdf_url":null,"source":{"id":"https://openalex.org/S531269","display_name":"International Emergency Nursing","issn_l":"1755-599X","issn":["1755-599X","1878-013X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Emergency Nursing","raw_type":"journal-article"},{"id":"pmid:42971026","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42971026","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":"International emergency nursing","raw_type":"Journal Article"},{"id":"pmh:doi:10.17605/osf.io/vkrhu","doi":null,"is_oa":true,"landing_page_url":"https://osf.io/vkrhu","pdf_url":null,"source":null,"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"StudyRegistration"},{"id":"doi:10.17605/osf.io/vkrhu","doi":"https://doi.org/10.17605/osf.io/vkrhu","is_oa":true,"landing_page_url":"https://doi.org/10.17605/osf.io/vkrhu","pdf_url":null,"source":{"id":"https://openalex.org/S7407050956","display_name":"Open Science Framework","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2799848540","host_organization_name":"Center for Open Science","host_organization_lineage":["https://openalex.org/I2799848540"],"host_organization_lineage_names":[],"type":"repository"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"StudyRegistration"}],"best_oa_location":{"id":"pmh:doi:10.17605/osf.io/vkrhu","doi":null,"is_oa":true,"landing_page_url":"https://osf.io/vkrhu","pdf_url":null,"source":null,"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"StudyRegistration"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9763000011444092,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4391188253","https://openalex.org/W2984942011","https://openalex.org/W4386346970","https://openalex.org/W2769534488","https://openalex.org/W3080401729","https://openalex.org/W4200379264","https://openalex.org/W3137769045","https://openalex.org/W3154680779","https://openalex.org/W7171639312","https://openalex.org/W3084446309"],"abstract_inverted_index":{"BACKGROUND:":[0],"Emergency":[1],"and":[2,22,26,54,86,107,110,145,149,168,185,198,212,227,241,250,288,311,318,329,352],"critical":[3,263],"care":[4,16],"nurses":[5],"are":[6],"increasingly":[7],"required":[8],"to":[9,39,46,93,111,123,177,194,333],"make":[10],"complex,":[11],"time-sensitive":[12],"decisions":[13],"across":[14,105,163,214],"intensive":[15],"unit":[17],"(ICU),":[18],"emergency":[19,70,334],"department,":[20],"prehospital,":[21],"telephone":[23],"triage":[24,60,108,117,232,271,330,350],"settings,":[25,109],"clinical":[27],"decision":[28],"support":[29,40],"systems":[30],"(CDSSs)":[31],"have":[32],"been":[33],"proposed":[34,339],"as":[35],"a":[36,125,262,343],"technological":[37],"strategy":[38],"this":[41],"process.":[42],"However,":[43],"the":[44,81,98,153,169,283],"extent":[45],"which":[47],"CDSSs":[48,101,217,230,268,320],"influence":[49],"nurses'":[50,103],"decision-making":[51,104,326],"time,":[52,249],"accuracy,":[53],"confidence":[55],"remains":[56],"uncertain-particularly":[57],"for":[58,69,134,324,346],"reverse":[59,87,116,270,349],"during":[61,118,272],"disaster":[62,119,273],"surges,":[63,120],"an":[64],"area":[65],"of":[66,83,100,224,265],"growing":[67,222],"importance":[68],"nursing":[71,325,335],"preparedness":[72],"worldwide.":[73],"No":[74],"previous":[75],"review":[76,91,141],"has":[77],"synthesised":[78],"evidence":[79,96,113,189,258],"at":[80],"intersection":[82],"CDSS":[84],"technology":[85],"triage.":[88],"This":[89],"scoping":[90,140],"aimed":[92],"map":[94,191,260],"existing":[95],"on":[97,152],"implementation":[99,306],"in":[102,121,269,282,327],"ICU":[106,328],"identify":[112],"gaps":[114],"concerning":[115],"order":[122],"propose":[124],"novel":[126],"conceptual":[127],"framework-the":[128],"CDSS-RT":[129,279,340],"(Clinical":[130],"Decision":[131],"Support":[132],"System":[133],"Reverse":[135],"Triage)":[136],"framework.":[137],"METHODS:":[138],"A":[139],"following":[142],"JBI":[143],"methodology":[144],"PRISMA-ScR":[146],"was":[147,192],"conducted":[148],"prospectively":[150],"registered":[151],"Open":[154],"Science":[155],"Framework":[156],"(OSF":[157],"registration:":[158],"DOI":[159],"10.17605/OSF.IO/VKRHU).":[160],"Systematic":[161],"searches":[162],"MEDLINE,":[164],"Scopus,":[165],"CINAHL,":[166],"Embase,":[167],"Cochrane":[170],"Library":[171],"identified":[172],"English-language":[173],"studies":[174,205,266],"published":[175,209],"up":[176],"January":[178],"2026.":[179],"Two":[180],"reviewers":[181],"independently":[182],"screened":[183],"records":[184],"extracted":[186],"data.":[187],"An":[188],"gap":[190,259],"constructed":[193],"visualise":[195],"literature":[196],"distribution":[197],"gaps.":[199],"RESULTS:":[200],"From":[201],"4218":[202],"records,":[203],"22":[204],"met":[206],"inclusion":[207],"criteria,":[208],"between":[210],"2009":[211],"2026":[213],"13":[215],"countries.":[216],"were":[218,254],"predominantly":[219],"knowledge-based,":[220],"with":[221],"use":[223],"machine":[225],"learning":[226],"artificial":[228],"intelligence.":[229],"improved":[231],"accuracy":[233],"by":[234],"7-23":[235],"percentage":[236],"points,":[237],"reduced":[238],"cognitive":[239,303],"workload,":[240],"enhanced":[242],"confidence,":[243],"although":[244],"alert":[245],"fatigue,":[246],"increased":[247],"response":[248],"limited":[251],"system":[252,353],"integration":[253],"common":[255],"barriers.":[256],"The":[257,278,338],"revealed":[261],"absence":[264],"addressing":[267],"surges.":[274],"PROPOSED":[275],"CONCEPTUAL":[276],"FRAMEWORK:":[277],"framework,":[280],"grounded":[281],"CDS":[284],"Five":[285],"Rights,":[286],"CFIR,":[287],"Dual-Process":[289],"Theory,":[290],"integrates":[291],"six":[292],"components:":[293],"(1)":[294],"knowledge":[295],"base;":[296],"(2)":[297],"hybrid":[298],"reasoning":[299],"engine;":[300],"(3)":[301],"user":[302],"factors;":[304],"(4)":[305],"readiness;":[307],"(5)":[308],"context-sensitive":[309],"design;":[310],"(6)":[312],"multi-level":[313],"outcome":[314],"metrics.":[315],"CONCLUSION:":[316],"Conclusion":[317],"implications:":[319],"show":[321],"considerable":[322],"promise":[323],"settings":[331],"relevant":[332],"practice":[336],"internationally.":[337],"framework":[341],"provides":[342],"structured":[344],"foundation":[345],"future":[347],"CDSS-assisted":[348],"research":[351],"design.":[354]},"counts_by_year":[],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2026-07-07T00:00:00"}
