ENA Emergency Severity Index accused of racial, economic bias

Occurred: June 2021

A number of healthcare delivery and planning algorithms widely used across the US, notably The Emergency Nurses Association (ENA)'s Emergency Severity Index, actively reinforced existing racial and economic biases

Researchers at The University of Chicago Booth School of Business' Center for Applied Artificial Intelligence assessed (pdf) algorithms that help emergency rooms triage patients and predict diabetes, amongst other uses. 

The Emergency Nurses Association (ENA)'s Emergency Severity Index was found to underestimate the severity of Black and Hispanic peoples' problems, perpetuating inequitable treatment in areas in which they reside for at least a decade, STAT reported.

The finding was seen to highlight concerns about racial, ethnic and geographic bias in the assignment of ESI scores to patients.

Operator: Brigham and Women’s Hospital, Boston; Emergency Nurses Association (ENA)

Developer: Emergency Nurses Association (ENA)

Country: USA

Sector: Health

Purpose: Assess medical condition
Technology: Triage algorithm

Issue: Accuracy/reliability; Bias/discrimination - race, ethnicity, economy
Transparency: Black box

Page info
Type: Issue 
Published: October 2021