The effectiveness of nurse-led outpatient referral triage decision making in pediatric otolaryngology

Hong, Paul; Ritchie, Krista; Beaton-Campbell, Cathy; Cavanagh, Lynn; Belyea, James; Corsten, Gerard

doi:10.1016/j.ijporl.2015.01.031

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…One possible solution to this includes providing local PCPs with a regularly updated list of subspecialist interests and preferences. Another option may involve a nurse-led triage system which was recently demonstrated to be effective and safe in a pediatric Otolaryngology referral setting [ 3 ]. Future work in this area will begin by considering some of the outlined changes requested by respondents.…”

Section: Discussionmentioning

confidence: 99%

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Evaluating the referral preferences and consultation requests of primary care physicians with otolaryngology – head and neck surgery

Scott

Wong

Sowerby

2015

Journal of Otolaryngology - Head & Neck Surgery

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BackgroundNo literature exists which examines referral preferences to, or the consultation process with, Otolaryngology. In a recent Canadian Medical Association nation-wide survey of General Practitioners and Family Physicians, Otolaryngology was listed as the second-most problematic specialty for referrals. The purpose of this study was to learn about and improve upon the referral process between primary care physicians (PCPs) and Otolaryngology at an academic centre in Southwestern Ontario.MethodsPCPs who actively refer patients to Otolaryngology within the catchment area of Western University were asked to complete a short paper-based questionnaire. Data was analyzed using descriptive statistics.ResultsA total of 50 PCPs were surveyed. Subspecialty influenced 90.0 % of the referrals made. Specialist wait times altered 58.0 % of referrals. All PCPs preferred to communicate via fax. Half of those surveyed wanted clinical notes from every encounter. Seventy-four percent of respondents wanted inappropriate referrals forwarded to the proper specialist automatically. Twenty-two percent of those surveyed were satisfied with current wait times. A central referral system was favored by 74 % of PCPs.ConclusionImprovements could help streamline the referral and consultation practices with Otolaryngology in Southwestern Ontario. A central referral system and reduction in the frequency of consultative reports can be considered.Electronic supplementary materialThe online version of this article (doi:10.1186/s40463-015-0114-2) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

“…Research exists that attempted to improve the quality of referrals; however, the results are largely equivocal and the studies were not specific to any one specialty [ 2 ]. Since the referral and consultation process is critical to facilitating timely access to care it is essential that both aspects are evaluated [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluating the referral preferences and consultation requests of primary care physicians with otolaryngology – head and neck surgery

Scott

Wong

Sowerby

2015

Journal of Otolaryngology - Head & Neck Surgery

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Patient triage to specialist outpatient clinics—time to standardize terminology

Belostotsky

Roy

Mikrogianakis

2022

Paediatrics &Amp; Child Health

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Objectives The objectives of this study were to evaluate existing nomenclature used for outpatient referrals triage and propose a system, which meets the needs of McMaster Children’s Hospital and can be modified for use in other hospitals. Methods We reviewed triage practices in the Department of Pediatrics, McMaster Children Hospital, Hamilton, Ontario and conducted a literature search to assess terminology used for outpatient referrals triage at other institutions. Results There is lack of unified terminology for triaging outpatient referrals. Existing systems are not widely accepted, lack uniformity, and often miss recording the true acuity of the referral. We developed a system that covers most outpatient triage scenarios, allocates either flexible or precise visit timelines to referrals and plans for logistics of the patient’s visit. Triage categories are iMMediate (MM), Acute (A) (1 to 14 days), Semi-Acute (S) (1 to 3 months), Timetabled (T) (next available appointment slot), Evaluated (E) (used for either forwarding to another provider or requesting additional information), and Rejected (R) categories—McMASTER triage system. Several numbered subcategories are used in each category to define precise timelines, if needed. Visit logistics categories are the following: Hub (H) (place to see the patient), How to notify patient and referring provider (HP) and (HD), need to Start with tests prior to appointment (S), and need to Complete (C) other relevant local processes—HHSC logistics system. Both these systems may be adapted for local use in other institutions. Conclusion This is the first publication that proposes terminology standardization in triaging outpatient referrals for specialist paediatric services.

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The effectiveness of nurse-led outpatient referral triage decision making in pediatric otolaryngology

Cited by 2 publications

References 13 publications

Evaluating the referral preferences and consultation requests of primary care physicians with otolaryngology – head and neck surgery

Evaluating the referral preferences and consultation requests of primary care physicians with otolaryngology – head and neck surgery

Patient triage to specialist outpatient clinics—time to standardize terminology

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