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Emergency Department Telephone Triage

Are Current Policies Safe? Recent research found a link between Oregon patients on Medicaid and increased ED visits, with possible implications for theAffordable Care Act (ACA).   For several decades, the issue of ED overutilization has been identified as a problem.  Historically, ED visits may be preceded by a telephone triage call to the ED for assessment and disposition — which most EDs...
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Decision making by Telephone Triage Nurses

Pattern Recognition and Estimation of Symptom Urgency Recent research on decisionmaking has implications for clinical decision making in telephone triage, CDSS, clinical call center policies, and industry regulations — worker fatigue, understaffing, over scheduling. Thinking Critically about Critical Thinking “In the beginner’s mind there are many possibilities. In the expert’s mind...
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Is Current Telephone Triage Research Disconnected?

 False Assumptions about Electronic Guidelines, Clinical Assessment & Decision Making Research and “Real World” Practice: A Major Disconnect Since the mid-nineties, the telephone triage industry has experienced breathtaking growth. Still, there is a lack of consensus about everything from scope of practice to terminology. For example, which title describes most accurately what clinicians do:...
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