After-hours Telephone Triage and Advice in Private and Nonprivate Pediatric Populations

Article Abstract:

A nurse-staffed telephone triage system may effectively manage after-hours pediatric emergency care, but the advise is not always heeded. Researchers evaluated 663 calls from parents and caregivers to an emergency advice service. Most called because their child had respiratory trouble, an injury, gastrointestinal disturbances, fever, or rash. The nurse referred 81 calls to a physician. A physician-reviewer agreed with the nurse's advice 95% of the time. Only 46% of caregivers advised to seek immediate care in the emergency department complied with the advise. Two-thirds of caregivers advised to make an office appointment to see a doctor complied with the recommendation.

United States, Methods, Nurses

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Pediatric Residents' Telephone Triage Experience

Article Abstract:

Parents who are given advice for care of a child on the telephone are highly compliant with the information given. The use of telephone inquiry after office hours is so widespread that pediatric residents are often made primary medical contact for parents in order to provide training for the proper protocol of such calls. The most common calls ask about coughs, fever, and vomiting, and calls to hospitals are similar to those made to private practices. In analyzing compliance, 86.9% of parents who made telephone calls to pediatric continuity residents followed the advice given 87% of the time.

Patient compliance, Telephone, Telephony

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Pediatric residents' telephone triage experience: relevant to general pediatric practice?

Article Abstract:

Handling medical calls from parents may provide pediatric residents with experience relevant and useful to pediatric private practice. Researchers evaluated 514 telephone calls from parents to a pediatric clinic. Pediatric residents answered the calls, provided advice, and got feedback from senior physicians. The most common complaints, such as fever, cough, and vomiting, were similar to those a pediatrician will see in private practice. Residents gave telephone advice or recommended a next-day or emergency appointment in proportions similar to doctors in private practice.

Training, Residents (Medicine), Pediatricians

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