ArticleBMC medical informatics and decision making2013
Teleconsultation in children with abdominal pain: a comparison of physician triage recommendations and an established paediatric telephone triage protocol.
Article in BMC medical informatics and decision making, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed.
- The Role of a Decision Support System in Back Pain Diagnoses: A Pilot Study.BioMed research international · 2019Trial
- To what extent do callers follow the advice given by a non-emergency medical helpline (NHS 111): A retrospective cohort study.PloS one · 2022Article
- Triage through telemedicine in paediatric emergency care-Results of a concordance study.PloS one · 2022Article
- Compliance with telephone triage advice among adults aged 45 years and older: an Australian data linkage study.BMC health services research · 2017Article
- Observational
- Evaluation of symptom checkers for self diagnosis and triage: audit study.BMJ (Clinical research ed.) · 2015Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundQuality assessment and continuous quality feedback to the staff is crucial for safety and efficiency of teleconsultation and triage. This study evaluates whether it is feasible to use an already existing telephone triage protocol to assess the appropriateness of point-of-care and time-to-treat recommendations after teleconsultations.
methodsBased on electronic patient records, we retrospectively compared the point-of-care and time-to-treat recommendations of the paediatric telephone triage protocol with the actual recommendations of trained physicians for children with abdominal pain, following a teleconsultation.
resultsIn 59 of 96 cases (61%) these recommendations were congruent with the paediatric telephone protocol. Discrepancies were either of organizational nature, due to factors such as local referral policies or gatekeeping insurance models, or of medical origin, such as milder than usual symptoms or clear diagnosis of a minor ailment.
conclusionsA paediatric telephone triage protocol may be applicable in healthcare systems other than the one in which it has been developed, if triage rules are adapted to match the organisational aspects of the local healthcare system.
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