Reliability and validity of an original nurse telephone triage tool for out-of-hours primary care calls: the SALOMON algorithm

2021 ◽  
pp. 1-7
Author(s):  
Edmond Brasseur ◽  
Allison Gilbert ◽  
Anne-Françoise Donneau ◽  
Justine Monseur ◽  
Alexandre Ghuysen ◽  
...  
Keyword(s):  
Primary Care ◽  
Reliability And Validity ◽  
Telephone Triage ◽  
Out Of Hours

scholarly journals Telephone triage by GPs in out-of-hours primary care in Denmark: a prospective observational study of efficiency and relevance

2016 ◽  
Vol 66 (650) ◽  
pp. e667-e673 ◽  
Author(s):  
Linda Huibers ◽  
Grete Moth ◽  
Anders H Carlsen ◽  
Morten B Christensen ◽  
Peter Vedsted
Keyword(s):  
Primary Care ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Telephone Triage ◽  
Out Of Hours

Income-related differences in out-of-hours primary care telephone triage: using national registration data

2021 ◽  
pp. emermed-2020-209649
Author(s):  
Tessa Jansen ◽  
Karin Hek ◽  
François G Schellevis ◽  
Anton E Kunst ◽  
Robert A Verheij
Keyword(s):  
Primary Care ◽  
Low Income ◽  
Telephone Triage ◽  
Electronic Health Record Data ◽  
Out Of Hours ◽  
Vulnerable Patients ◽  
Follow Up Care ◽  
Healthcare Need ◽  
Ses Differences

BackgroundTelephone triage is used to facilitate efficient and adequate acute care allocation, for instance in out-of-hours primary care services (OPCSs). Remote assessment of health problems is challenging and could be impeded by a patient’s ambiguous formulation of his or her healthcare need. Socioeconomically vulnerable patients may experience more difficulty in expressing their healthcare need. We aimed to assess whether income differences exist in the patient’s presented symptoms, assessed urgency and allocation of follow-up care in OPCS.MethodData were derived from Nivel Primary Care Database encompassing electronic health record data of 1.3 million patients from 28 OPCSs in 2017 in the Netherlands. These were linked to sociodemographic population registry data. Multilevel logistic regression analyses (contacts clustered in patients), adjusted for patient characteristics (eg, age, sex), were conducted to study associations of symptoms, urgency assessment and follow-up care with patients’ income (standardised for household size as socioeconomic status (SES) indicator).ResultsThe most frequently presented symptoms deduced during triage slightly differed across SES groups, with a larger relative share of trauma in the high-income groups. No SES differences were observed in urgency assessment. After triage, low income was associated with a higher probability of receiving telephone advice and home visits, and fewer consultations at the OPCS.ConclusionsSES differences in the patient’s presented symptom and in follow-up in OPCS suggest that the underlying health status and the ability to express care needs affect the telephone triage process . Further research should focus on opportunities to better tailor the telephone triage process to socioeconomically vulnerable patients.

Nurse telephone triage in Dutch out-of-hours primary care

2012 ◽  
Vol 19 (5) ◽  
pp. 309-315 ◽  
Author(s):  
Linda Huibers ◽  
Paul Giesen ◽  
Marleen Smits ◽  
Henk Mokkink ◽  
Richard Grol ◽  
...  
Keyword(s):  
Primary Care ◽  
Telephone Triage ◽  
Out Of Hours

scholarly journals Optimisation of telephone triage of callers with symptoms suggestive of acute cardiovascular disease in out-of-hours primary care: observational design of the Safety First study

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e027477 ◽  
Author(s):  
Daphne CA Erkelens ◽  
Loes TCM Wouters ◽  
Dorien LM Zwart ◽  
Roger AMJ Damoiseaux ◽  
Esther De Groot ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Primary Care ◽  
The Netherlands ◽  
Diagnostic Accuracy ◽  
Diagnostic Process ◽  
Telephone Triage ◽  
Predictive Values ◽  
Out Of Hours ◽  
Coronary Syndrome ◽  
Safety First

IntroductionIn the Netherlands, the ‘Netherlands Triage Standard’ (NTS) is frequently used as digital decision support system for telephone triage at out-of-hours services in primary care (OHS-PC). The aim of the NTS is to guarantee accessible, efficient and safe care. However, there are indications that current triage is inefficient, with overestimation of urgency, notably in suspected acute cardiovascular disease. In addition, in primary care settings the NTS has only been validated against surrogate markers, and diagnostic accuracy with clinical outcomes as the reference is unknown. In the Safety First study, we address this gap in knowledge by describing, understanding and improving the diagnostic process and urgency allocation in callers with symptoms suggestive of acute cardiovascular disease, in order to improve both efficiency and safety of telephone triage in this domain.Methods and analysisAn observational study in which 3000 telephone triage recordings (period 2014–2016) will be analysed. Information is collected from the recordings including caller and symptom characteristics and urgency allocation. The callers’ own general practitioners are contacted for the final diagnosis of each contact. We included recordings of callers with symptoms suggestive of acute coronary syndrome (ACS) or transient ischaemic attack (TIA)/stroke. With univariable and multivariable logistic regression analyses the diagnostic accuracy of caller and symptom characteristics will be analysed in terms of predictive values with urgency level, and ACS and TIA/stroke as outcomes, respectively. To further improve our understanding of the triage process at OHS-PC, we will carry out additional studies applying both quantitative and qualitative methods: (i) case-control study on serious adverse events (SAE), (ii) conversation analysis study and (iii) interview study with triage nurses.Ethics and disseminationThe Medical Ethics Committee Utrecht, the Netherlands endorsed this study (National Trial Register identification: NTR7331). Results will be disseminated at scientific conferences, regional educational sessions and publication in peer-reviewed journals.

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