Evidence map›Paper›PMID 41243403›Full record

ArticleEmergency medicine Australasia : EMA2025

Feasibility of a Pre-Hospital Virtual Triage and Care Model: A Mixed-Methods Pilot in Emergency Care.

James Young-Jamieson, Roy Bekkeli, Adelaide Michael, Rachael Smithson

Abstract read
In one paragraph

Article in Emergency medicine Australasia : EMA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

James Young-JamiesonGold Coast Hospital and Health Service, Gold Coast, Australia.
Roy BekkeliGold Coast Hospital and Health Service, Gold Coast, Australia.
Adelaide MichaelGold Coast Hospital and Health Service, Gold Coast, Australia.ORCID 0009-0001-5414-0733
Rachael SmithsonGold Coast Hospital and Health Service, Gold Coast, Australia.ORCID 0000-0002-0288-6664

Funding

Gold Coast Hospital and Health Service
6 · The paper itself

Abstract

objectiveTo date, research on pre-hospital telehealth has primarily been observational or conducted in controlled settings. This study examines the feasibility of a novel pre-hospital telehealth initiative-the Virtual Triage Assessment and Care (VTAC) model-and its potential impact on the efficiency of patient flow through the emergency department (ED). This study aims to contribute evidence regarding the practical implementation and outcomes of pre-hospital telehealth interventions in real-world settings.

methodsThis study adopted a mixed method approach to combine data from electronic medical records, observations and surveys across a breadth of stakeholders. Quantitative data were analysed in a matched cohort analysis. Qualitative data were inductively themed and triangulated.

resultsTwenty-six patients were identified as eligible for VTAC, and it was successfully piloted in 10 patient cases over 3 days in October 2023. Pilot evidence suggests that virtual patient review following ambulance retrieval enabled senior medical assessment 81 min earlier and expedited diagnostic orders, facilitating earlier treatment planning and resulting in a 14% (50 min) reduction in emergency department length of stay. However, no significant improvements were observed in Queensland Ambulance Service crew cycle times. Patients reported high satisfaction with VTAC, with all surveyed agreeing telehealth was an acceptable triage method.

conclusionsEarly data indicates that the VTAC model is feasible and may support ED patient journey efficiencies. It further identifies several real-world enablers for integration into practice, including greater availability of critical technologies and governance structures that integrate virtual workflows with current ED processes.

Indexed as

Emergency Medical ServicesTriageAdultAgedEmergency Service, HospitalFeasibility StudiesFemaleHumansMaleMiddle AgedPilot ProjectsQueenslandTelemedicineemergenciesparamedicspatientssafetytelemedicine

Identifiers

PMID41243403
PMCPMC12620601

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.