ArticleBMJ quality & safety2011
Telephone triage by nurses in primary care out-of-hours services in Norway: an evaluation study based on written case scenarios.
Article in BMJ quality & safety, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Benefit of a nurse-led telephone-based intervention prior to the first urogynecology outpatient visit: a randomized-controlled trial.International urogynecology journal · 2021Trial
- The effectiveness of nurse practitioners working at a GP cooperative: a study protocol.BMC family practice · 2012Trial
- Spatial agglomeration in the use of emergency telephone consultation services in a prefecture of Japan: a geographic information system-based spatial statistical analysis.BMC health services research · 2026Article
- Article
- From direct attendance to telephone triage in an emergency primary healthcare service: an observational study.BMJ open · 2022Observational
- Factors associated with undertriage in patients classified by the need to visit a hospital by telephone triage: a retrospective cohort study.BMC emergency medicine · 2021Article
- The implementation of the nationwide out-of-hours phone number 1733 in Belgium: analysis of efficiency and safety.Primary health care research & development · 2021Article
- Impact of a telephone triage service for non-critical emergencies in Switzerland: A cross-sectional study.PloS one · 2021Article
- Article
- Age and Sex Differences in the Use of Emergency Telephone Consultation Services in Saitama, Japan: A Population-Based Observational Study.International journal of environmental research and public health · 2019Observational
- Giving advice to callers with mental illness: adaptation among telenurses at Swedish Healthcare Direct.International journal of qualitative studies on health and well-being · 2019Article
- Triage for out-of-hours primary care calls: a reliability study of a new French-language algorithm, the SALOMON rule.Scandinavian journal of primary health care · 2019Article
- Article
- Telephone counselling by nurses in Norwegian primary care out-of-hours services: a cross-sectional study.BMC family practice · 2017Article
- A Semantic-Based Model for Triage Patients in Emergency Departments.Journal of medical systems · 2017Article
- Article
- Telephone triage by GPs in out-of-hours primary care in Denmark: a prospective observational study of efficiency and relevance.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Observational
- The league of extraordinary generalists: a qualitative study of professional identity and perceptions of role of GPs working on a national after hours helpline in Australia.BMC health services research · 2016Article
- Telephone triage in general practices: A written case scenario study in the Netherlands.Scandinavian journal of primary health care · 2016Article
- How do patients respond when confronted with telephone access barriers to care?Health expectations : an international journal of public participation in health care and health policy · 2015Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe use of nurses for telephone-based triage in out-of-hours services is increasing in several countries. No investigations have been carried out in Norway into the quality of decisions made by nurses regarding our priority degree system. There are three levels: acute, urgent and non-urgent.
methodsNurses working in seven casualty clinics in out-of-hours districts in Norway (The Watchtowers) were all invited to participate in a study to assess priority grade on 20 written medical scenarios validated by an expert group. 83 nurses (response rate 76%) participated in the study. A one-out-of-five sample of the nurses assessed the same written cases after 3 months (n = 18, response rate 90%) as a test-retest assessment.
resultsAmong the acute, urgent and non-urgent scenarios, 82%, 74% and 81% were correctly classified according to national guidelines. There were significant differences in the proportion of correct classifications among the casualty clinics, but neither employment percentage nor profession or work experience affected the triage decision. The mean intraobserver variability measured by the Cohen kappa was 0.61 (CI 0.52 to 0.70), and there were significant differences in kappa with employment percentage. Casualty clinics and work experience did not affect intrarater agreement.
conclusionCorrect classification of acute and non-urgent cases among nurses was quite high. Work experience and employment percentage did not affect triage decision. The intrarater agreement was good and about the same as in previous studies performed in other countries. Kappa increased significantly with increasing employment percentage.
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