Emergency department telephone advice
Emergency department personnel are frequently asked to give advice to members of the community who telephone for advice or information about a wide variety of medical problems. A study was designed to determine the consistency and accuracy of directions given to adults who call EDs seeking advice ab...
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Veröffentlicht in: | Annals of emergency medicine 1989-03, Vol.18 (3), p.278-282 |
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container_title | Annals of emergency medicine |
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creator | Verdile, Vincent P Paris, Paul M Stewart, Ronald D Verdile, Louise A |
description | Emergency department personnel are frequently asked to give advice to members of the community who telephone for advice or information about a wide variety of medical problems. A study was designed to determine the consistency and accuracy of directions given to adults who call EDs seeking advice about a problem. Forty-six EDs were selected and telephoned for advice by a research assistant who presented a scenario that could have reasonably been interpreted as a patient experiencing myocardial ischemia. Nine percent of the calls were answered and managed only by ED unit secretaries. Fifty-six percent of the respondents failed to ask the caller any questions about the patient or the chief complaint. Only four ED respondents instructed the caller to call 911 and have the patient brought to the ED. The data suggest that telephone advice given by some EDs is nonstandardized and may be inadequate to the point of jeopardizing the welfare of the caller. |
doi_str_mv | 10.1016/S0196-0644(89)80414-7 |
format | Article |
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A study was designed to determine the consistency and accuracy of directions given to adults who call EDs seeking advice about a problem. Forty-six EDs were selected and telephoned for advice by a research assistant who presented a scenario that could have reasonably been interpreted as a patient experiencing myocardial ischemia. Nine percent of the calls were answered and managed only by ED unit secretaries. Fifty-six percent of the respondents failed to ask the caller any questions about the patient or the chief complaint. Only four ED respondents instructed the caller to call 911 and have the patient brought to the ED. The data suggest that telephone advice given by some EDs is nonstandardized and may be inadequate to the point of jeopardizing the welfare of the caller.</description><identifier>ISSN: 0196-0644</identifier><identifier>EISSN: 1097-6760</identifier><identifier>DOI: 10.1016/S0196-0644(89)80414-7</identifier><identifier>PMID: 2923337</identifier><identifier>CODEN: AEMED3</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adult ; Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Anesthesia: equipment, devices ; Biological and medical sciences ; Coronary Disease - diagnosis ; Data Collection - methods ; Emergencies ; emergency department ; Emergency Service, Hospital - standards ; Evaluation Studies as Topic ; Hospitals, Community ; Hospitals, Teaching ; Hospitals, Urban ; Humans ; Medical sciences ; Pennsylvania ; Referral and Consultation ; Telephone ; telephone advice ; Workforce</subject><ispartof>Annals of emergency medicine, 1989-03, Vol.18 (3), p.278-282</ispartof><rights>1989 American College of Emergency Physicians</rights><rights>1989 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-68df66ba0c81e13e74a2d1a46afbe453e5373c3fb580965bd940ff8a7097861a3</citedby><cites>FETCH-LOGICAL-c389t-68df66ba0c81e13e74a2d1a46afbe453e5373c3fb580965bd940ff8a7097861a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0196-0644(89)80414-7$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,3548,23929,23930,25139,27923,27924,45994</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=7149249$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2923337$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Verdile, Vincent P</creatorcontrib><creatorcontrib>Paris, Paul M</creatorcontrib><creatorcontrib>Stewart, Ronald D</creatorcontrib><creatorcontrib>Verdile, Louise A</creatorcontrib><title>Emergency department telephone advice</title><title>Annals of emergency medicine</title><addtitle>Ann Emerg Med</addtitle><description>Emergency department personnel are frequently asked to give advice to members of the community who telephone for advice or information about a wide variety of medical problems. A study was designed to determine the consistency and accuracy of directions given to adults who call EDs seeking advice about a problem. Forty-six EDs were selected and telephoned for advice by a research assistant who presented a scenario that could have reasonably been interpreted as a patient experiencing myocardial ischemia. Nine percent of the calls were answered and managed only by ED unit secretaries. Fifty-six percent of the respondents failed to ask the caller any questions about the patient or the chief complaint. Only four ED respondents instructed the caller to call 911 and have the patient brought to the ED. The data suggest that telephone advice given by some EDs is nonstandardized and may be inadequate to the point of jeopardizing the welfare of the caller.</description><subject>Adult</subject><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anesthesia: equipment, devices</subject><subject>Biological and medical sciences</subject><subject>Coronary Disease - diagnosis</subject><subject>Data Collection - methods</subject><subject>Emergencies</subject><subject>emergency department</subject><subject>Emergency Service, Hospital - standards</subject><subject>Evaluation Studies as Topic</subject><subject>Hospitals, Community</subject><subject>Hospitals, Teaching</subject><subject>Hospitals, Urban</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Pennsylvania</subject><subject>Referral and Consultation</subject><subject>Telephone</subject><subject>telephone advice</subject><subject>Workforce</subject><issn>0196-0644</issn><issn>1097-6760</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtKAzEUhoMotVYfodCFii5Gk0kml5VIqRcouFDXIZOc0cjcTKaFvr3TdujW1Vmc7z-XD6EpwXcEE37_joniCeaM3Uh1KzEjLBFHaEywEgkXHB-j8QE5RWcx_mCMFUvJCI1SlVJKxRhdLSoIX1DbzcxBa0JXQd3NOiih_W5qmBm39hbO0UlhyggXQ52gz6fFx_wlWb49v84fl4mlUnUJl67gPDfYSgKEgmAmdcQwboocWEYho4JaWuSZxIpnuVMMF4U0oj9ZcmLoBF3v57ah-V1B7HTlo4WyNDU0q6iFlFJkMu3BbA_a0MQYoNBt8JUJG02w3urROz16-7uWSu_0aNHnpsOCVV6BO6QGH33_cuibaE1ZBFNbHw-YIEylTPXYwx6DXsbaQ9DR-l4iOB_Adto1_p9D_gA13oAG</recordid><startdate>19890301</startdate><enddate>19890301</enddate><creator>Verdile, Vincent P</creator><creator>Paris, Paul M</creator><creator>Stewart, Ronald D</creator><creator>Verdile, Louise A</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19890301</creationdate><title>Emergency department telephone advice</title><author>Verdile, Vincent P ; Paris, Paul M ; Stewart, Ronald D ; Verdile, Louise A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-68df66ba0c81e13e74a2d1a46afbe453e5373c3fb580965bd940ff8a7097861a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Adult</topic><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anesthesia: equipment, devices</topic><topic>Biological and medical sciences</topic><topic>Coronary Disease - diagnosis</topic><topic>Data Collection - methods</topic><topic>Emergencies</topic><topic>emergency department</topic><topic>Emergency Service, Hospital - standards</topic><topic>Evaluation Studies as Topic</topic><topic>Hospitals, Community</topic><topic>Hospitals, Teaching</topic><topic>Hospitals, Urban</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Pennsylvania</topic><topic>Referral and Consultation</topic><topic>Telephone</topic><topic>telephone advice</topic><topic>Workforce</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Verdile, Vincent P</creatorcontrib><creatorcontrib>Paris, Paul M</creatorcontrib><creatorcontrib>Stewart, Ronald D</creatorcontrib><creatorcontrib>Verdile, Louise A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Verdile, Vincent P</au><au>Paris, Paul M</au><au>Stewart, Ronald D</au><au>Verdile, Louise A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Emergency department telephone advice</atitle><jtitle>Annals of emergency medicine</jtitle><addtitle>Ann Emerg Med</addtitle><date>1989-03-01</date><risdate>1989</risdate><volume>18</volume><issue>3</issue><spage>278</spage><epage>282</epage><pages>278-282</pages><issn>0196-0644</issn><eissn>1097-6760</eissn><coden>AEMED3</coden><abstract>Emergency department personnel are frequently asked to give advice to members of the community who telephone for advice or information about a wide variety of medical problems. 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ispartof | Annals of emergency medicine, 1989-03, Vol.18 (3), p.278-282 |
issn | 0196-0644 1097-6760 |
language | eng |
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source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
subjects | Adult Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anesthesia: equipment, devices Biological and medical sciences Coronary Disease - diagnosis Data Collection - methods Emergencies emergency department Emergency Service, Hospital - standards Evaluation Studies as Topic Hospitals, Community Hospitals, Teaching Hospitals, Urban Humans Medical sciences Pennsylvania Referral and Consultation Telephone telephone advice Workforce |
title | Emergency department telephone advice |
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