Swiss Center for Telemedicine Medgate, Gellertstr, 19, 4020 Basel, Switzerland.
BMC Med Inform Decis Mak. 2013 Sep 30;13:110. doi: 10.1186/1472-6947-13-110.
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.
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.
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.
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.
质量评估和对员工的持续质量反馈对于远程咨询和分诊的安全和效率至关重要。本研究评估了使用现有的电话分诊协议来评估远程咨询后即时护理和治疗时间建议的适当性是否可行。
基于电子病历，我们回顾性地比较了儿科电话分诊协议的即时护理和治疗时间建议与经过培训的医生对腹痛儿童的实际建议，这些建议是在远程咨询后提出的。
在 96 例中的 59 例（61%），这些建议与儿科电话协议一致。差异要么是组织性质的，由于当地转诊政策或把关保险模式等因素，要么是医学性质的，例如症状比通常轻或明确诊断为小病。
如果分诊规则适应当地医疗保健系统的组织方面，那么儿科电话分诊协议可能适用于开发协议之外的医疗保健系统。
