What is a Telephone Triage Nurse? Current Role and Skills

Posted by Sheila Wheeler on Jul 22, 2014 in Articles of Interest, Current, FAQ Telephone Triage, FAQ Teletriage Systems | 0 comments Telephone triage nurse: current role and skills from Sheila Wheeler
read more

Are Telephone Triage Guidelines Safe & Reliable ?

Posted by Sheila Wheeler on Feb 14, 2014 in Articles of Interest, FAQ Telephone Triage, FAQ-Protocol | 1 comment How to Evaluate Telephone Triage Guidelines and Protocols It is safe to say that telephone triage guidelines are still in “early days”.  No independent, peer-reviewed, comparative study has found one guideline system to be safer than all others.  In fact,  errors and delays in care still plague telephone triage. According to the Institute of Medicine, error is defined as the...
read more

Are Telephone Triage Nurses Using Guidelines?

Posted by Sheila Wheeler on Feb 13, 2014 in Articles of Interest, Current, FAQ Telephone Triage, FAQ Teletriage Systems, FAQ-Protocol | 0 comments RECENT RESEARCH has found that Computerized Decision Support Systems (CDSS) do not perform effectively (or possibly safely)as decision support tools. Technical deficiencies included: not supportive of decision making, inconsistent documentation leading to mistriage, unintended self-care recommendations, information missing or outdated, questions subject to variable interpretation, clinical...
read more

Clinical Call Center of the Future:

Posted by Sheila Wheeler on Feb 13, 2014 in Articles of Interest, Current, FAQ Telephone Triage, FAQ Teletriage Systems | 2 comments In a recent article in Healthcare Call Center Times entitled “Thoughts from a Telephone Triage Pioneer”, Sheila Wheeler shared her vision of the future of telehealth with a list of features for the clinical call center of the future. New Title Telephone Triage Nurse becomes Clinical Triagist Integrated Clinical Call Centers The 24/7 “Command Call Center” becomes the new...
read more

Emergency Department Telephone Triage

Posted by Sheila Wheeler on Dec 6, 2013 in Articles of Interest, Current, FAQ Telephone Triage, FAQ Teletriage Systems, FAQ-Protocol | 0 comments 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...
read more

Decision making by Telephone Triage Nurses

Posted by Sheila Wheeler on Nov 26, 2013 in Articles of Interest, Current, FAQ Telephone Triage, FAQ Teletriage Systems, FAQ-Protocol | 1 comment 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...
read more