Optimizing telephone triage of patients calling for acute shortness of breath in primary care

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

NL-OMON

Registry ID

NL-OMON25312

Enrollment

2000

Registered

2021-08-20

Start date

2020-07-01

Completion date

Unknown

Last updated

2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

pulmonary embolism, acute coronary syndrome, acute heart failure, pneumonia, exacerbation of asthma, exacerbation of COPD

Interventions

None listed

Eligibility

Inclusion criteria

Inclusion criteria: In order to be eligible for inclusion in this study, a recording has to cover a conversation with a caller between 1 July 2020 and 30 June 2026. During the conversation the triage nurse has selected the entrance complaint ‘shortness of breath’ in the NTS system.

Exclusion criteria

Exclusion criteria: Patients’ age < 18 years.

Design outcomes

Primary

Measure	Time frame
Quantitative research: (i)The diagnostic accuracy of determinants the NTS urgency categories for callers with SOB for critical diagnoses (PE, ACS, AHF, pneumonia, asthma or COPD exacerbation); (ii)Validation of the NTS urgency categories for critical diagnoses (PE, ACS, AHF, pneumonia, asthma or COPD exacerbation); (iii)Patient characteristics and symptoms predictive of critical diagnosis in callers contacting OHS-PC for SOB. Prediction models will be fitted for each diagnosis. Qualitative research: (iv)Description of the currently performed triage process for SOB based on observations during OHS-PC shifts (v)Insights in barriers and facilitators in triage calls for SOB according to patients and triage nurses. We will focus on the influence of emotions, such as fear and anxiety, on triage calls. (vi)Implementation and evaluation of potential improvements from (i), (ii), (iii), (iv) and (v) to the triage process for SOB which could provide a base for the development of innovations and educational programs fostering workplace learning for GP specialty trainees and triage nurses.	—

Measure

Time frame

Quantitative research: (i)The diagnostic accuracy of determinants the NTS urgency categories for callers with SOB for critical diagnoses (PE, ACS, AHF, pneumonia, asthma or COPD exacerbation); (ii)Validation of the NTS urgency categories for critical diagnoses (PE, ACS, AHF, pneumonia, asthma or COPD exacerbation); (iii)Patient characteristics and symptoms predictive of critical diagnosis in callers contacting OHS-PC for SOB. Prediction models will be fitted for each diagnosis. Qualitative research: (iv)Description of the currently performed triage process for SOB based on observations during OHS-PC shifts (v)Insights in barriers and facilitators in triage calls for SOB according to patients and triage nurses. We will focus on the influence of emotions, such as fear and anxiety, on triage calls. (vi)Implementation and evaluation of potential improvements from (i), (ii), (iii), (iv) and (v) to the triage process for SOB which could provide a base for the development of innovations and educational programs fostering workplace learning for GP specialty trainees and triage nurses.

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Contacts

Public ContactMichelle Spek

Julius Centrum, UMC Utrecht

m.spek-2@umcutrecht.nl+31(0)631117825

Outcome results