Rutten F H, Zwart D L
UMC Utrecht, Julius Centrum voor Gezondheidszorg en Eerstelijns Geneeskunde, Utrecht.
Ned Tijdschr Geneeskd. 2016;160:D657.
Based on triage during out-of-hours emergency services with physical contact with patients, the Dutch Triage Standard - a telephone triage algorithm - has been developed for use in primary care out-of-hours services. However, it is also used in the daytime setting. We argue that this tool should be evaluated by actually evaluating the telephone contacts that are backed up during triage and using the final diagnoses of these contacts as the reference standard. We have serious doubts whether the Dutch Triage Standard is an effective tool in the primary care daytime setting with its very low prevalence of high urgency. Adequate triage is time consuming, and may result in reduced accessibility thus creating critical situations. Well-evaluated pilots should precede large-scale implementation of decision support systems.
基于非工作时间紧急服务中与患者的身体接触进行分诊，荷兰分诊标准——一种电话分诊算法——已被开发用于初级保健非工作时间服务。然而，它也用于白天的情况。我们认为，应该通过实际评估分诊过程中支持的电话联系，并将这些联系的最终诊断作为参考标准来评估这个工具。对于荷兰分诊标准在高紧急情况发生率极低的初级保健白天环境中是否是一个有效工具，我们深表怀疑。充分的分诊很耗时，可能会导致可及性降低，从而造成危急情况。在大规模实施决策支持系统之前，应该先进行经过充分评估的试点。
