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...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Annals of emergency medicine 1989-03, Vol.18 (3), p.278-282
Hauptverfasser: Verdile, Vincent P, Paris, Paul M, Stewart, Ronald D, Verdile, Louise A
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 282
container_issue 3
container_start_page 278
container_title Annals of emergency medicine
container_volume 18
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
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_78887582</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0196064489804147</els_id><sourcerecordid>78887582</sourcerecordid><originalsourceid>FETCH-LOGICAL-c389t-68df66ba0c81e13e74a2d1a46afbe453e5373c3fb580965bd940ff8a7097861a3</originalsourceid><addsrcrecordid>eNqFkMtKAzEUhoMotVYfodCFii5Gk0kml5VIqRcouFDXIZOc0cjcTKaFvr3TdujW1Vmc7z-XD6EpwXcEE37_joniCeaM3Uh1KzEjLBFHaEywEgkXHB-j8QE5RWcx_mCMFUvJCI1SlVJKxRhdLSoIX1DbzcxBa0JXQd3NOiih_W5qmBm39hbO0UlhyggXQ52gz6fFx_wlWb49v84fl4mlUnUJl67gPDfYSgKEgmAmdcQwboocWEYho4JaWuSZxIpnuVMMF4U0oj9ZcmLoBF3v57ah-V1B7HTlo4WyNDU0q6iFlFJkMu3BbA_a0MQYoNBt8JUJG02w3urROz16-7uWSu_0aNHnpsOCVV6BO6QGH33_cuibaE1ZBFNbHw-YIEylTPXYwx6DXsbaQ9DR-l4iOB_Adto1_p9D_gA13oAG</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>78887582</pqid></control><display><type>article</type><title>Emergency department telephone advice</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>Verdile, Vincent P ; Paris, Paul M ; Stewart, Ronald D ; Verdile, Louise A</creator><creatorcontrib>Verdile, Vincent P ; Paris, Paul M ; Stewart, Ronald D ; Verdile, Louise A</creatorcontrib><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><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>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=7149249$$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. 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.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>2923337</pmid><doi>10.1016/S0196-0644(89)80414-7</doi><tpages>5</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0196-0644
ispartof Annals of emergency medicine, 1989-03, Vol.18 (3), p.278-282
issn 0196-0644
1097-6760
language eng
recordid cdi_proquest_miscellaneous_78887582
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
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-11T02%3A13%3A34IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Emergency%20department%20telephone%20advice&rft.jtitle=Annals%20of%20emergency%20medicine&rft.au=Verdile,%20Vincent%20P&rft.date=1989-03-01&rft.volume=18&rft.issue=3&rft.spage=278&rft.epage=282&rft.pages=278-282&rft.issn=0196-0644&rft.eissn=1097-6760&rft.coden=AEMED3&rft_id=info:doi/10.1016/S0196-0644(89)80414-7&rft_dat=%3Cproquest_cross%3E78887582%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=78887582&rft_id=info:pmid/2923337&rft_els_id=S0196064489804147&rfr_iscdi=true