BMC Med Inform Decis Mak - Teleconsultation in children with abdominal pain: a comparison of physician triage recommendations and an established paediatric telephone triage protocol.

Tópicos

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Resumo

CKGROUND: Quality 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.METHODS: Based 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.RESULTS: In 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.CONCLUSIONS: A 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.

Resumo Limpo

ckground qualiti assess continu qualiti feedback staff crucial safeti effici teleconsult triag studi evalu whether feasibl use alreadi exist telephon triag protocol assess appropri pointofcar timetotreat recommend teleconsultationsmethod base electron patient record retrospect compar pointofcar timetotreat recommend paediatr telephon triag protocol actual recommend train physician children abdomin pain follow teleconsultationresult case recommend congruent paediatr telephon protocol discrep either organiz natur due factor local referr polici gatekeep insur model medic origin milder usual symptom clear diagnosi minor ailmentconclus paediatr telephon triag protocol may applic healthcar system one develop triag rule adapt match organis aspect local healthcar system

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