Teleconsultation in children with abdominal pain: a comparison of physician triage recommendations and an established paediatric telephone triage protocol

TY - JOUR

T1 - Teleconsultation in children with abdominal pain: a comparison of physician triage recommendations and an established paediatric telephone triage protocol

AU - Staub, Gabrielle Marmier

AU - von Overbeck, Jan

AU - Blozik, Eva

PY - 2013/1/1

Y1 - 2013/1/1

N2 - BACKGROUND: 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.

AB - BACKGROUND: 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.

KW - Abdominal Pain

KW - Adolescent

KW - Child

KW - Child, Preschool

KW - Clinical Protocols

KW - Disease Management

KW - Feasibility Studies

KW - Humans

KW - Infant

KW - Infant, Newborn

KW - Pediatrics

KW - Retrospective Studies

KW - Severity of Illness Index

KW - Telemedicine

KW - Telephone

U2 - 10.1186/1472-6947-13-110

DO - 10.1186/1472-6947-13-110

M3 - SCORING: Journal article

C2 - 24079719

VL - 13

SP - 110

JO - BMC MED INFORM DECIS

JF - BMC MED INFORM DECIS

SN - 1472-6947

ER -