Contact characteristics and factors associated with the degree of urgency among older people in emergency primary health care: a cross-sectional study

Haraldseide, Lisa Marie; Sortland, Linn Solveig; Hunskaar, Steinar; Morken, Tone

doi:10.1186/s12913-020-05219-0

Cited by 5 publications

(3 citation statements)

References 33 publications

(49 reference statements)

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“…Most of the complaints were related to clinical care problems such as diagnosis and prescribing. Common themes were also unmet management expectations and clinical examination dissatisfaction [ 41 ]. The quality of communication has also been associated with the appropriateness of the assessment of urgency and required care, and thus with the safety of triage as well [ 2 , 4 , 20 ].…”

Section: Resultsmentioning

confidence: 99%

Identifying performance indicators to measure overall performance of telephone triage – a scoping review

Vainio,

Soininen,

Castrén

et al. 2023

Scandinavian Journal of Primary Health Care

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Objective This article aims to summarize performance indicators used in telephone triage services research, and make recommendations for the selection of valid indicators to measure the performance of telephone triage. We describe what kind of frameworks, performance indicators, or variables have been used for evaluating telephone triage performance by systematically mapping the telephone triage performance measurement. The objective was to find measures for each Triple Aim dimension. Design A scoping review method was used following Joanna Briggs Institute guidelines. Using this method, we defined indicators to measure the performance of telephone triage. We used the Triple Aim framework to identify indicators to measure the overall performance of telephone triage. The Triple Aim framework consists of improving the patient experience of care, improving the health of populations, and reducing cost per capita. Setting The scoping review was performed using CINAHL, Medline, EBSCOhost, and PubMed electronic databases. The eligibility criterion was research published in English between 2015 and 2023. The inclusion focused on the use and performance of telephone triage services and system-focused studies. Results A total of 1098 papers were screened for inclusion, with 57 papers included in our review. We identified 13 performance indicators covering all Triple Aim dimensions: waiting times, access, patient satisfaction, the accuracy of triage decision, severity and urgency of the symptoms, triage response, patient compliance with the advice given, follow-up healthcare service use, and running costs of service. We didn’t find any earlier framework covering all Triple Aim dimensions properly. Conclusions Measuring the performance of telephone triage requires an extensive and comprehensive approach. We presented performance indicators that may be included in the framework for measuring the performance of telephone triage to support overall performance measurements of telephone triage.

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Section: Resultsmentioning

confidence: 99%

Identifying performance indicators to measure overall performance of telephone triage – a scoping review

Vainio,

Soininen,

Castrén

et al. 2023

Scandinavian Journal of Primary Health Care

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“…They also face many adverse health outcomes after discharge. 21,38,39 Thirtyeight percent of ED elder patients have arrived via EMS, and it is projected to increase to 50% by 2030. 40 Older adults are more severely ill than others who arrived via EMS 26,29,41 .…”

Section: Discussionmentioning

confidence: 99%

Challenges of Emergency Medical Services Utilization by Older Adults in Tabriz, Iran: Data from Health Status of Aged People in Tabriz (HSA-T Study)

Rajaei Ghafouri,

Araj-Khodaei,

Abbasian

et al. 2023

Int J Aging

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Objectives: To evaluate the awareness of older adults in Tabriz of Emergency Medical Services (EMS) and the terms of services. Design: Cross-sectional study. Setting(s): Tabriz, the capital city of East Azerbaijan Province, in northwestern Iran. Participants: A representative sample of≥60 years old noninstitutionalized population containing 1071 participants (514 males and 557 females) in the health status of aged people in Tabriz (HSA-T) study was selected using the probability proportional to the size (PPS) sampling method. Out of all the participants in the HAS-T study, 1062 participants (514 males and 548 females) completed the questionnaire regarding the awareness and knowledge of EMS. Outcome Measures: Service awareness means being informed about the existence of the EMS. Knowledge about EMS is defined as knowing the EMS phone number and knowledge about its free and 24-hour services. Results: Forty-seven percent of the older adults were not familiar with the EMS system. The awareness of EMS in males was higher than that in females (63.4% vs. 44.4%, P<0.001), and it was also higher among those born in cities than those in rural areas (61.2% vs. 46.1%, P<0.001). Furthermore, individuals who hold primary, secondary, and higher education had a higher chance of awareness of EMS compared with illiterate people by more than 2, 4, and 12 times, respectively Odds ratio (OR)=2.53; 95% confidence interval (CI): 1.81–3.52, OR=4.69; 95% CI: 2.79–7.91, and OR=12.09; 95% CI: 4.88–29.94). Conclusions: Due to the high rate of illiteracy and low public awareness, older adults do not have appropriate knowledge about the facilities, conditions, and terms of using EMS and may not be able to demand some of their essential services; therefore, notifying and increasing the older adults’ awareness of the available services is necessary.

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“…The urgent priority degree is a decision support tool used to determine response patterns and the degree of urgency at the consultation scene with the Norwegian Index of Emergency Medical Assistance. They discussed that consultation nurses generally perceive men as more urgent cases than women, partially because of symptom presentation [ 26 ]. In the present study, male sex was associated with severe outcomes, decided by physicians even after transport to hospital, in cases with red category triaged by telephone triage nurses.…”

Section: Discussionmentioning

confidence: 99%

ABCD approach at the #7119 center, telephone triage system in Tokyo, Japan; a retrospective cohort study

et al. 2022

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Background The algorithm and protocol of the #7119 telephone triage in Tokyo, Japan, had been originally established and consists of three steps. In this study, we investigated the outcome of patients treated with physiological abnormality (ABCD approach: A, airway; B, breathing; C, circulation, and D, dysfunction of central nervous system) in step 2 during the #7119 telephone triage and clarified the meaning of evaluation of this approach. Methods We retrospectively reviewed data from the Tokyo Fire Department from January 2016 to December 2017. Almost all the patients triaged using the ABCD approach were transferred to the hospital by ambulance and assigned severity by a physician. We divided patients into groups with combinations of 15 patterns including A, B, C, D, AB, AC, AD, BC, BD, CD, ABC, ABD, ACD, BCD, and ABCD. We compared the proportion of severe cases in each group using a Fisher's exact test, followed by residual analysis. Results We analyzed 13,793 cases triaged using the ABCD approach. In this analysis, 31% of total cases were assessed as severe cases. Groupwise analysis showed that the proportion of severe cases was significantly higher in the AD, BC, CD, ABD, and ABCD groups, while it was significantly less in the C and AB groups than in the total cases. Conclusion At the #7119 telephone triage, we can pick up the severe cases by the ABCD approach. This may contribute to the prompt transportation of severe patients to hospitals by dispatching ambulance cars using the #7119 telephone triage methods.

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Contact characteristics and factors associated with the degree of urgency among older people in emergency primary health care: a cross-sectional study

Cited by 5 publications

References 33 publications

Identifying performance indicators to measure overall performance of telephone triage – a scoping review

Identifying performance indicators to measure overall performance of telephone triage – a scoping review

Challenges of Emergency Medical Services Utilization by Older Adults in Tabriz, Iran: Data from Health Status of Aged People in Tabriz (HSA-T Study)

ABCD approach at the #7119 center, telephone triage system in Tokyo, Japan; a retrospective cohort study

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