Telephone triage: Results of adolescent clinic responses to a mock patient with pelvic pain

Rupp, Richard; Ramsey, Keith P.; Foley, John D.

doi:10.1016/1054-139x(94)90511-8

Cited by 17 publications

(6 citation statements)

References 15 publications

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“…1989 , Crouch 1992, Isaacman et al . 1992 , Rupp et al . 1994 ) have identified that not enough data were gathered to ensure correct decision making.…”

Section: Discussionmentioning

confidence: 99%

An evaluation of the safety and effectiveness of telephone triage as a method of patient prioritization in an ophthalmic accident and emergency service

Marsden¹

2000

Journal of Advanced Nursing

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Service changes in the accident and emergency service at Manchester Royal Eye Hospital in England resulted in a telephone triage-based referral service for health care professionals. It became clear that this service needed evaluation in order to assure both providers and users of the service that this referral strategy, based on experienced nurse practitioners making decisions about patient priority, was safe and effective. The evaluation was extended to encompass the other area of the service where telephone referrals tend to be directly from patients. A mixed method was used. Information gained within the telephone triage conversation was compared with a final diagnosis through retrospective analysis of secondary data; the documentation of those patients who were not given access to the service initially was followed-up to ensure that this decision was safe and a number of nurses were questioned about telephone information gathering, using partially structured interviews. The study showed that nurse practitioners within the accident and emergency service were able to elicit accurate information from the telephone triage conversation on which to base a decision about patient access in most cases (76% over the whole service). This resulted in the appropriate prioritization of patients. No patient who needed urgent access to the service was denied it. The decisions made to deny urgent appointments to a number of patients were safe in all cases. It appears that one of the problem areas in the gathering of information for prioritization purposes is in the nurses' telephone triage discussions with some, but by no means all, doctors. Some general practitioners seemed unwilling to discuss the patient and give accurate information to a nurse and this is an area which appears to need some further work.

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“…1989 , Crouch 1992, Isaacman et al . 1992 , Rupp et al . 1994 ) have identified that not enough data were gathered to ensure correct decision making.…”

Section: Discussionmentioning

confidence: 99%

An evaluation of the safety and effectiveness of telephone triage as a method of patient prioritization in an ophthalmic accident and emergency service

Marsden¹

2000

Journal of Advanced Nursing

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“…Evaluation of a child with lower abdominal and pelvic pain starts with eliciting a relevant history. This holds true for a face-to-face encounter as well as a telephone triage [2]. The character, location, frequency of the pain, and presence of associated symptoms provide clues leading to appropriate testing and also to probable etiology.…”

Section: History Is Paramountmentioning

confidence: 99%

Recurrent Lower Abdominal Pain in Older Children and Adolescents: Revised Clinical Approach

Shashidhar

Omar

2005

The Scientific World JOURNAL

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“…Unfortunately, even when medical concerns are managed by the telephone, the outcome may be less than desired. In one study of responses by employees of adolescent clinics to a woman caller who simulated pelvic pain, only 63% of the clinics provided appropriate advice (17). Another study involved a caller who described an event that resembled myocardial ischemia; of the 46 emergency departments telephoned, 56% failed to ask any pertinent questions and only four provided guidance appropriate for the emergency (18).…”

Section: Nature Of Telephone Callsmentioning

confidence: 99%

Telephone triage A challenge for practicing midwives

DeVore¹

1999

Journal of Nurse-Midwifery

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Telephone triage: Results of adolescent clinic responses to a mock patient with pelvic pain

Cited by 17 publications

References 15 publications

An evaluation of the safety and effectiveness of telephone triage as a method of patient prioritization in an ophthalmic accident and emergency service

An evaluation of the safety and effectiveness of telephone triage as a method of patient prioritization in an ophthalmic accident and emergency service

Recurrent Lower Abdominal Pain in Older Children and Adolescents: Revised Clinical Approach

Telephone triage A challenge for practicing midwives

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