Abstract:
:We conducted a retrospective study of incident reports concerning the national, nurse-led telephone triage system in Sweden. The Swedish Health Care Direct organization (SHD) is staffed by registered nurses who act as telenurses and triage the callers' need for care, using a computerized decision support system. Data were collected during 2007 from all county councils that participated in the SHD and were analysed using content analysis. Incident reports were then compared concerning differences in reported categories and who reported the errors. The 426 incident reports included 452 errors. Of the analysed incident reports, 41% concerned accessibility problems, 25% incorrect assessment, 15% routines/guidelines, 13% technical problems and 6% information and communication. The most frequent outgoing incident reports (i.e. sent from SHD to other health-care providers) concerned accessibility problems and the most frequently incoming reports (i.e. sent to SHD from other health-care providers) concerned incorrect assessment. There was a significant difference (P < 0.001) between outgoing and incoming reports regarding the main category. Telenurses have limited possibilities for referring the caller to their primary health-care provider or specialist, which may cause them to over-triage or under-triage the callers' need for care. This over-triage or under-triage may in turn cause other health-care providers to report incorrect assessment to SHD. The implications for practice are that poor accessibility is a matter that should be addressed and that the reasons for incorrect assessment should be explored.
journal_name
J Telemed Telecarejournal_title
Journal of telemedicine and telecareauthors
Ernesäter A,Engström M,Holmström I,Winblad Udoi
10.1258/jtt.2009.090813subject
Has Abstractpub_date
2010-01-01 00:00:00pages
243-7issue
5eissn
1357-633Xissn
1758-1109pii
jtt.2009.090813journal_volume
16pub_type
杂志文章,多中心研究abstract::A tele-ultrasound survey was distributed to clinicians and sonographers in regional and rural sites throughout Queensland. In all, 28 centres were invited to complete a profile questionnaire, and 27 centres were invited to complete a case-log. Twenty-five of the 28 questionnaires were returned (89% response rate). Twe...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,多中心研究
doi:10.1258/135763305775124696
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abstract::We conducted a pilot study of the effectiveness of individual counselling sessions provided by a dietician through telemedicine for patients with diabetes. All participants received a single group education session via videoconference. Those who were randomized to the intervention also received two additional follow-u...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
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更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:In France, a specially-designed care plan for the elderly is generally based on an interdisciplinary, complex and time-consuming process. The health system assigns care throughout the social and health care services using multiple providers and sites. OBJECTIVE:The free website www.jesuisautonome.fr offers ...
journal_title:Journal of telemedicine and telecare
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doi:10.1177/1357633X15572713
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abstract::Introduction Maternal depression (MD), is an overarching term for depression affecting pregnant women and mothers for up to 12 months postpartum. Because MD may have chronic and long-lasting effects, it is an important public health concern. The extent to which telemedicine may be an effective way to provide services ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,meta分析
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abstract::We evaluated the effect of a video-phone network on peer support among frail elderly people living at home. We conducted a one-year trial of network formation among 14 people (five men and nine women, age range 78-85 years) through coordinator intervention and the use of ISDN video-phones. The purpose of the intervent...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,多中心研究
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更新日期:2003-01-01 00:00:00
abstract::We evaluated a shared-care tele-ophthalmology service initiated by the Rotterdam Eye Hospital and 10 optometrists working in retail optician stores. The optometrists screened their clients with a nerve fibre analyser and the resulting images were then further assessed by trained technicians at the hospital. We analyse...
journal_title:Journal of telemedicine and telecare
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更新日期:2004-01-01 00:00:00
abstract::Introduction We have conducted a feasibility study on remote autopsy services in order to increase the flexibility of the service with benefits for teaching and interdepartmental collaboration. Methods Three senior staff pathologists, one senior autopsy technician and one junior resident participated in the study. Nin...
journal_title:Journal of telemedicine and telecare
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更新日期:2018-08-01 00:00:00
abstract::Protocols are essential in a nurse-led minor injuries unit. They allow the identification of agreed steps that need to occur in a sequential and timely fashion for a given process. Protocols fall into four categories: (1) for the management of specific clinical conditions; (2) for ordering and interpreting radiographs...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633991933693
更新日期:1999-01-01 00:00:00
abstract::Three different, well established systems for e-referral were examined. They ranged from a system in a single country handling a large number of cases (60,000 per year) to a global system covering many countries which handled fewer cases (150 per year). Nonetheless, there appeared to be a number of common features. Wh...
journal_title:Journal of telemedicine and telecare
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doi:10.1258/135763303322596354
更新日期:2003-01-01 00:00:00
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
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更新日期:2019-11-26 00:00:00
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
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更新日期:2000-01-01 00:00:00
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X15587171
更新日期:2016-01-01 00:00:00
abstract::Our aim was to introduce the Hungarian pilot telemedical screening program for diabetic retinopathy (DRP) and also to evaluate the efficacy of non-mydriatic fundus photographs. A total of 502 eyes of 251 diabetic patients were photographed with a non-mydriatic digital fundus camera in a tertiary diabetology care cente...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X15572712
更新日期:2015-04-01 00:00:00
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
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更新日期:2005-01-01 00:00:00
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journal_title:Journal of telemedicine and telecare
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更新日期:2014-03-01 00:00:00
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X14552372
更新日期:2014-10-01 00:00:00
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X010070S130
更新日期:2001-01-01 00:00:00
abstract::Introduction The purpose of this study was to assess the clinical and financial outcomes of a novel outreach syncope clinic. Methods We compared the clinical outcome of the Faint and Fall Clinic at the American Center (January-June 2016) with that of the University of Wisconsin Health and Clinics Faint and Fall Clinic...
journal_title:Journal of telemedicine and telecare
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更新日期:2018-09-01 00:00:00
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journal_title:Journal of telemedicine and telecare
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更新日期:2016-10-01 00:00:00
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
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更新日期:2008-01-01 00:00:00
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
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更新日期:2009-01-01 00:00:00
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
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更新日期:2011-01-01 00:00:00
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journal_title:Journal of telemedicine and telecare
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
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更新日期:2005-01-01 00:00:00
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
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更新日期:1999-01-01 00:00:00
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
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更新日期:2012-03-01 00:00:00
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
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journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
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更新日期:2015-06-01 00:00:00
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journal_title:Journal of telemedicine and telecare
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更新日期:2021-01-17 00:00:00