Publicatie
Publicatie datum
Veiligheid en doelmatigheid van telefonische triage op de Nederlandse huisartsenpost.
Huibers, L., Smits, M., Wensing, M., Giesen, P. Veiligheid en doelmatigheid van telefonische triage op de Nederlandse huisartsenpost. TSG: Tijdschrift voor Gezondheidswetenschappen: 2016, 94(8), p. 294-297.
Background
In general practitioner cooperatives (GP cooperatives) triage nurses perform telephone triage to determine the urgency and required type of care for patients. At the start, there were concerns about the safety of triage, but since then triage has further professionalized.
Aim
Giving an overview of Dutch research into the safety and efficiency of telephone triage, trends and recommendations for the future.
Research
Studies in the early years of the GP cooperative found an urgency underestimation of 19% and 41%. Triagists did not ask enough questions and their communication was not enough patient oriented. The quality of a triage conversation showed to be positively related to the correctness of the triage decisions. In 2.4% of the contacts at GP cooperatives, a patient safety incident occurred, of which a third was related to triage.
The efficiency could potentially improve
half of the patients had a follow-up contact with a health professional after contact with the GP cooperative. The deployment of a telephone doctor seemed to contribute to safe and efficient care.
Trends and recommendations
Research into the quality of triage from the beginning of the GP cooperatives shows possibilities for improvement. Since then, all GP cooperatives use a triage system (NTS) and a national triage observation instrument has recently been implemented. Recent research on the quality of triage is scarce.
Possible research topics include
Quality of triage with NTS, added value of the telephone doctor and quality of face-to-face triage. (aut. ref.)
In general practitioner cooperatives (GP cooperatives) triage nurses perform telephone triage to determine the urgency and required type of care for patients. At the start, there were concerns about the safety of triage, but since then triage has further professionalized.
Aim
Giving an overview of Dutch research into the safety and efficiency of telephone triage, trends and recommendations for the future.
Research
Studies in the early years of the GP cooperative found an urgency underestimation of 19% and 41%. Triagists did not ask enough questions and their communication was not enough patient oriented. The quality of a triage conversation showed to be positively related to the correctness of the triage decisions. In 2.4% of the contacts at GP cooperatives, a patient safety incident occurred, of which a third was related to triage.
The efficiency could potentially improve
half of the patients had a follow-up contact with a health professional after contact with the GP cooperative. The deployment of a telephone doctor seemed to contribute to safe and efficient care.
Trends and recommendations
Research into the quality of triage from the beginning of the GP cooperatives shows possibilities for improvement. Since then, all GP cooperatives use a triage system (NTS) and a national triage observation instrument has recently been implemented. Recent research on the quality of triage is scarce.
Possible research topics include
Quality of triage with NTS, added value of the telephone doctor and quality of face-to-face triage. (aut. ref.)
Background
In general practitioner cooperatives (GP cooperatives) triage nurses perform telephone triage to determine the urgency and required type of care for patients. At the start, there were concerns about the safety of triage, but since then triage has further professionalized.
Aim
Giving an overview of Dutch research into the safety and efficiency of telephone triage, trends and recommendations for the future.
Research
Studies in the early years of the GP cooperative found an urgency underestimation of 19% and 41%. Triagists did not ask enough questions and their communication was not enough patient oriented. The quality of a triage conversation showed to be positively related to the correctness of the triage decisions. In 2.4% of the contacts at GP cooperatives, a patient safety incident occurred, of which a third was related to triage.
The efficiency could potentially improve
half of the patients had a follow-up contact with a health professional after contact with the GP cooperative. The deployment of a telephone doctor seemed to contribute to safe and efficient care.
Trends and recommendations
Research into the quality of triage from the beginning of the GP cooperatives shows possibilities for improvement. Since then, all GP cooperatives use a triage system (NTS) and a national triage observation instrument has recently been implemented. Recent research on the quality of triage is scarce.
Possible research topics include
Quality of triage with NTS, added value of the telephone doctor and quality of face-to-face triage. (aut. ref.)
In general practitioner cooperatives (GP cooperatives) triage nurses perform telephone triage to determine the urgency and required type of care for patients. At the start, there were concerns about the safety of triage, but since then triage has further professionalized.
Aim
Giving an overview of Dutch research into the safety and efficiency of telephone triage, trends and recommendations for the future.
Research
Studies in the early years of the GP cooperative found an urgency underestimation of 19% and 41%. Triagists did not ask enough questions and their communication was not enough patient oriented. The quality of a triage conversation showed to be positively related to the correctness of the triage decisions. In 2.4% of the contacts at GP cooperatives, a patient safety incident occurred, of which a third was related to triage.
The efficiency could potentially improve
half of the patients had a follow-up contact with a health professional after contact with the GP cooperative. The deployment of a telephone doctor seemed to contribute to safe and efficient care.
Trends and recommendations
Research into the quality of triage from the beginning of the GP cooperatives shows possibilities for improvement. Since then, all GP cooperatives use a triage system (NTS) and a national triage observation instrument has recently been implemented. Recent research on the quality of triage is scarce.
Possible research topics include
Quality of triage with NTS, added value of the telephone doctor and quality of face-to-face triage. (aut. ref.)