Patient feedback on a new method of consulting with the GP; an analysis of responses by users of online triage software
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Background Online triage software is a new way to triage patients online that allows patients to describe their problem via an online form. A GP then contacts the patient to arrange either a face-to-face or telephone consultation. Aim This study aimed to explore use of online consultation software and gain insight into patients’ experiences of using online consultations, identifying potential barriers and facilitators to use. Method This is a mixed methods retrospective study analysing data about patient users and their associated feedback. Data from a sample of 5591 patients were quantitatively analysed to describe characteristics of users. 576 out of the 5591 users left free-text feedback comments on their experience of use. These were thematically analysed. Results The highest levels of use were observed in 25–35-year olds and lowest from those aged >65. Key themes identified included convenience, consultation quality, appropriateness, resource-use and functionality. Within each, a range of subthemes were present representing both positive and negative perceptions, suggesting that experiences of using online triage varied and were often context-dependent Conclusion There are various advantages to online triage software, but these are context-dependent. Therefore, such applications should be offered as an additional way to contact the GP surgery, rather than a replacement for more established methods, to ensure appropriate and equal access for patients.Keywords:
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Triage
Disaster Response
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If triage works in disaster conditions, why not in an emergency department? Conditions there can be disastrous, too, as increasing numbers of patients use emergency departments as a source of primary care. A nurse to receive these patients, evaluate the kind of care they need, and refer them accordingly has worked out very well in the hospital where this triage system was instituted.
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Emergency nursing
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Traditional triage could not meet the needs of battlefield casualties’ care in modern warfare. This paper designs of triage and medical evacuation system for casualties at sea that can quickly address mass-casualty triage, and store and transmit medical information during battlefield treatment and medical evacuation. This system consists of a high-capacity medical information card, a simulated patient generator, a triage classifier and a multifunctional airbag triage vest.
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Battlefield
Medical evacuation
Mass Casualty
Modern warfare
Medical information
Military medicine
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Objective To study the role of triage in medical transport of critically wounded persons after earthquake and tsunami disaster.Methods In the medical relief of earthquake and tsunami disaster occurred in Aceh of Indonesia,triage was carried out to screen the critically wounded persons.After the critical wounded persons were transported to the Aceh Airport with helicopters,medical workers from Multi-national Joint Transport Center provided emergency medical service and decided the transport priority according to the triage in Aceh Airport.Results A total of 217 wounded persons were evacuated to the respective medical institutions after brief triage and rapid treatment.Conclusion Triage can make full use of limited medical resources in treatment of critically wounded persons.
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Disaster Medicine
Medical evacuation
Medical treatment
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Not everyone who uses the prehospital system needs ambulance transportation, but triaging patients is fraught with pitfalls. These authors evaluated whether emergency medical technicians in Portland, Oregon could apply prehospital triage protocols appropriately.
Emergency medicine experts developed a set of triage protocols to stratify patients into 1 of …
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A key aim in any mass disaster event is to avoid diverting resources by overwhelming specialized tertiary centers with minor casualties. The most crucial aspect of an effective disaster response is pre-hospital triage at the scene. Unfortunately, many triage systems have serious shortcomings in their methodologies and no existing triage system has enough scientific evidence to justify its universal adoption. Moreover, it is observed that the optimal approach to planning is by no means clear-cut and that each new incident involving burns appears to produce its own unique problems not all of which were predictable. In most major burns disasters, victims mostly have combined trauma burn injuries and form a heterogeneous group with a broad range of devastating injuries. Are these victims primarily burn patients or trauma patients? Should they be taken care of in a burn center or in a trauma center or only in a combined burns-trauma center? Who makes the decision? The present review is aimed at answering some of these questions. Un objectif clé après les désastres de masse de tous les types est d’éviter le détournement des ressources submergeant les centres tertiaires spécialisés de patients atteints de lésions mineures. L’aspect le plus crucial d’une réponse efficace aux catastrophes est le triage préhospitalier à la scène de l’accident. Malheureusement, de nombreux systèmes de triage présentent de sérieuses lacunes dans leurs méthodologies et aucun système de triage actuellement utilisé ne démontre de posséder les qualités scientifiques suffisantes pour justifier son adoption universelle. Par ailleurs, on observe que l’approche optimale pour la planification n’est pas nullement claire et que tous les cas de désastre par feu présentent des aspects particuliers non tous prévisibles. Dans la plupart des grands désastres par feu, la majorité des victimes présentent une association de brûlures et d’autres traumatismes et constituent un groupe hétérogène atteint d’une large gamme de lésions dévastatrices. Ces victimes sont-elles principalement des patients brûlés ou des patients traumatisés? Faut-il les prendre en charge dans un centre des brûlés ou un centre des traumatisés ou seulement dans un centre dédié aux soins des deux catégories de patients? Qui prend la décision? Les Auteurs de cette étude mirent à répondre à certaines de ces questions.
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Mass-casualty incident
Mass Casualty
Trauma Center
Burn center
Major trauma
Tertiary care
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Abstract Purpose: This study is an evaluation of the ability of medically trained and controlled emergency medical dispatchers to use telephone triage techniques to direct the appropriate prehospital unit to an emergency scene. Methods: Emergency dispatchers, educated in a formal emergency medical dispatch program, were assigned one of four triage priorities to incoming 9-1-1 calls. The actual field management delivered for each patient was compared with the dispatcher's triage to determine the appropriateness of triage. Results: A total of 1,045 consecutive calls were reviewed with 74.4% sorted as needing advanced life support (ALS) units on scene; 65.3% (95% CI, 61.9 to 68.6%) of these calls required ALS intervention. A total of 3.4% of the runs sorted to the non-ALS response groups were identified to have required ALS intervention. Comparing the need for ALS intervention, a significant difference was found between the triage groups. Conclusion: Emergency medical dispatchers, using a formal system for telephone triage, are able to direct appropriate prehospital resources to the emergency scene.
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Advanced Life Support
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This article discusses the use of triage by the emergency medical technician when responding to a multiple casualty incident. It describes the START system, a commonly used system of triage, and notes difficulties EMS technicians frequently have when first using triage. It also relates the troubling emotions that one can experience while executing triage systems.
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The objective of this study was to design a triage system for emergency patients in the pre-hospital EMS phase without special knowledge related to the triage system. For this, we selected the Manchester system considering the pre-hospital emergency situation. Through this study, without the special knowledge about the complex triage system, the paramedics were able to produce the triage result by recording information through a newly designed ambulance report.
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When there are a lot of injured people at a large-scale disaster site, medical staff first do triage. Triage is to decide the priority for treatment depending on the degree of severity or urgency of injured people. Paper triage tags are used now to show their condition and to record information on injuries. We do research that collect information of injured people by using electronic triage tags which replace the current paper tags. To do prompt and accurate emergency medical services with electronic tags at a disaster site, it is important for medical staff to engage in a disaster-relief training using them on a daily basis. So we propose the disaster-relief training system using the electronic triage tag. This system supports to develop the scenarios of injured people information and transport information. We let the electronic triage tag generate vital signs of injured people constantly. By collecting and monitoring those data at regular intervals, we aim to conduct a more practical disaster-relief training considering the change in symptoms of injured people.
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Vital signs
Disaster Medicine
Disaster Response
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