The acceptability and safety of video triage for ambulance service patients and clinicians during the COVID-19 pandemic
© 2021 The Author(s)..
INTRODUCTION: In response to anticipated challenges with urgent and emergency healthcare delivery during the early part of the COVID-19 pandemic, Yorkshire Ambulance Service NHS Trust introduced video technology to supplement remote triage and 'hear and treat' consultations as a pilot project in the EOC. We conducted a service evaluation with the aim of investigating patient and staff acceptability of video triage, and the safety of the decision-making process.
METHODS: This service evaluation utilised a mixture of routine and bespoke data collection. We sent postal surveys to patients who were recipients of a video triage, and clinicians who were involved in the video triage pilot logged calls they attempted and undertook.
RESULTS: Between 27 March and 25 August 2020, clinicians documented 1073 triage calls. A successful video triage call was achieved in 641 (59.7%) cases. Clinical staff reported that video triage improved clinical assessment and decision making compared to telephone alone, and found the technology accessible for patients. Patients who received a video triage call and responded to the survey (40/201, 19.9%) were also satisfied with the technology and with the care they received. Callers receiving video triage that ended with a disposition of 'hear and treat' had a lower rate of re-contacting the service within 24 hours compared to callers that received clinical hub telephone triage alone (16/212, 7.5% vs. 2508/14349, 17.5% respectively).
CONCLUSION: In this single NHS Ambulance Trust evaluation, the use of video triage for low-acuity calls appeared to be safe, with low rates of re-contact and high levels of patient and clinician satisfaction compared to standard telephone triage. However, video triage is not always appropriate for or acceptable to patients and technical issues were not uncommon.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2021 |
|---|---|
| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:6 |
|---|---|
| Enthalten in: |
British paramedic journal - 6(2021), 2 vom: 01. Sept., Seite 49-58 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Bell, Fiona [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
|---|
| Anmerkungen: |
Date Revised 02.09.2022 published: Print Citation Status PubMed-not-MEDLINE |
|---|
| doi: |
10.29045/14784726.2021.9.6.2.49 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM330811533 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM330811533 | ||
| 003 | DE-627 | ||
| 005 | 20231225212106.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2021 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.29045/14784726.2021.9.6.2.49 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1102.xml |
| 035 | |a (DE-627)NLM330811533 | ||
| 035 | |a (NLM)34539255 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Bell, Fiona |e verfasserin |0 (orcid)https://orcid.org/0000-0003-4503-1903 |4 aut | |
| 245 | 1 | 4 | |a The acceptability and safety of video triage for ambulance service patients and clinicians during the COVID-19 pandemic |
| 264 | 1 | |c 2021 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Revised 02.09.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a © 2021 The Author(s). | ||
| 520 | |a INTRODUCTION: In response to anticipated challenges with urgent and emergency healthcare delivery during the early part of the COVID-19 pandemic, Yorkshire Ambulance Service NHS Trust introduced video technology to supplement remote triage and 'hear and treat' consultations as a pilot project in the EOC. We conducted a service evaluation with the aim of investigating patient and staff acceptability of video triage, and the safety of the decision-making process | ||
| 520 | |a METHODS: This service evaluation utilised a mixture of routine and bespoke data collection. We sent postal surveys to patients who were recipients of a video triage, and clinicians who were involved in the video triage pilot logged calls they attempted and undertook | ||
| 520 | |a RESULTS: Between 27 March and 25 August 2020, clinicians documented 1073 triage calls. A successful video triage call was achieved in 641 (59.7%) cases. Clinical staff reported that video triage improved clinical assessment and decision making compared to telephone alone, and found the technology accessible for patients. Patients who received a video triage call and responded to the survey (40/201, 19.9%) were also satisfied with the technology and with the care they received. Callers receiving video triage that ended with a disposition of 'hear and treat' had a lower rate of re-contacting the service within 24 hours compared to callers that received clinical hub telephone triage alone (16/212, 7.5% vs. 2508/14349, 17.5% respectively) | ||
| 520 | |a CONCLUSION: In this single NHS Ambulance Trust evaluation, the use of video triage for low-acuity calls appeared to be safe, with low rates of re-contact and high levels of patient and clinician satisfaction compared to standard telephone triage. However, video triage is not always appropriate for or acceptable to patients and technical issues were not uncommon | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a EMS | |
| 650 | 4 | |a ambulance | |
| 650 | 4 | |a telemedicine | |
| 650 | 4 | |a video triage | |
| 700 | 1 | |a Pilbery, Richard |e verfasserin |0 (orcid)https://orcid.org/0000-0002-5797-9788 |4 aut | |
| 700 | 1 | |a Connell, Rob |e verfasserin |4 aut | |
| 700 | 1 | |a Fletcher, Dean |e verfasserin |4 aut | |
| 700 | 1 | |a Leatherland, Tracy |e verfasserin |4 aut | |
| 700 | 1 | |a Cottrell, Linda |e verfasserin |4 aut | |
| 700 | 1 | |a Webster, Peter |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t British paramedic journal |d 2018 |g 6(2021), 2 vom: 01. Sept., Seite 49-58 |w (DE-627)NLM318938448 |x 1478-4726 |7 nnns |
| 773 | 1 | 8 | |g volume:6 |g year:2021 |g number:2 |g day:01 |g month:09 |g pages:49-58 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.29045/14784726.2021.9.6.2.49 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 6 |j 2021 |e 2 |b 01 |c 09 |h 49-58 | ||