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Identification of emergencies in the telephone queue and routing to a fast track (FAST): study protocol for a prospective, two-armed cohort study.

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اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: London : BioMed Central, [2001-
    • الموضوع:
      Telephone*; Humans ; Prospective Studies ; Germany ; Emergencies ; Waiting Lists ; Triage/methods ; Hotlines
    • نبذة مختصرة :
      Background: In Germany, the telephone patient service 116,117 for callers with non-life-threatening health issues is available 24/7. Based on structured initial assessment, urgency and placement of suitable medical care offer have been offered since 2020. The service has been in increasing demand for several years: Depending on time and residence, this can result in longer waiting times.
      Methods: Prospective, two-armed cohort study with two intervention groups and one control group, alternating between blinding and unblinding for employees of 116,117 regarding prioritization status. Two interventions based on automated voice dialogues (1: Simple self-rating tool, 2: Automated brief query of emergency symptoms). In case of high level of urgency, callers are prioritized. Validation of urgency and need for care is carried out routinely based on structured initial assessment.
      Discussion: By creating and providing a largely reproducible documentation of the implemented solutions for a waiting queue management, the developed approach would be available for comparable projects in the German health care system or in the European context. This potentially leads to a reduction in the use of resources in the development of comparable technical solutions based on automated voice dialogs.
      Trial Registration: DRKS00031235, registered on 10th November 2023, https://drks.de/search/de/trial/DRKS00031235 .
      (© 2024. The Author(s).)
    • References:
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      BMC Med Res Methodol. 2019 Jun 21;19(1):129. (PMID: 31226934)
      Scand J Trauma Resusc Emerg Med. 2020 Jun 10;28(1):53. (PMID: 32522240)
      Scand J Prim Health Care. 2019 Mar;37(1):120-127. (PMID: 30712448)
      Scand J Trauma Resusc Emerg Med. 2019 Apr 11;27(1):44. (PMID: 30975160)
      BMJ Open. 2020 Sep 30;10(9):e030267. (PMID: 32998912)
      Br J Gen Pract. 2018 Mar;68(668):e197-e203. (PMID: 29440015)
      Scand J Prim Health Care. 2019 Jun;37(2):207-217. (PMID: 31070507)
    • Contributed Indexing:
      Keywords: Fast track; SmED; Structural initial assessment; Telephone patient service; Waiting queue management
    • الموضوع:
      Date Created: 20240916 Date Completed: 20240917 Latest Revision: 20240919
    • الموضوع:
      20240919
    • الرقم المعرف:
      PMC11406844
    • الرقم المعرف:
      10.1186/s12913-024-11583-y
    • الرقم المعرف:
      39285300