Warrington, L, Holch, P, Kenyon, L et al. (5 more authors) (2016) An audit of acute oncology services: Patient experiences of admission procedures and staff utilisation of a new telephone triage system. Supportive Care in Cancer, 24 (12). pp. 5041-5048. ISSN 0941-4355
Abstract
Objectives: In 2010, St. James Institute of Oncology (Leeds, UK) created a new acute oncology service (AOS) consisting of a new admissions unit with a nurse-led telephone triage (TT) system. This audit cycle (March 2011 and June 2013) evaluated patient experiences of the reconfigured AOS and staff use of the TT system. Methods: Patient views were elicited via a questionnaire and semi-structured interviews. The TT forms were analysed descriptively evaluating completion and data quality, reported symptoms and their severity and advice given (including admission rates). Results: Patients (n = 40) reported high satisfaction with the new AOS. However, 56 % of patients delayed 2 days or more before contacting the unit. In 2011, 26 % of all the admitted patients were triaged via the TT system; 133 TT forms were completed. In June 2013, 49 % of the admitted patients were triaged; 264 forms were completed. The most commonly reported symptoms on the TT forms were pain, pyrexia/rigors/infection, diarrhoea, vomiting and dyspnoea. Half of the patients using the TT system were admitted (52 % in 2011, 49 % in 2013). Conclusions: Our audit provided evidence of successful implementation of the TT system with the number of TT forms doubling from 2011 to 2013. The new AOS was endorsed by patients, with the majority satisfied with the care they received.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © Springer-Verlag Berlin Heidelberg 2016. This is an author produced version of a paper published in Supportive Care in Cancer. The final publication is available at Springer via http://dx.doi.org/10.1007/s00520-016-3370-4. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Oncology, acute admissions, adverse events, telephone triage, supportive care |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Academic Unit of Primary Care (Leeds) |
Funding Information: | Funder Grant number National Inst for Health Research (NIHR) RP-DG-1209-10031 |
Depositing User: | Symplectic Publications |
Date Deposited: | 10 Aug 2016 11:01 |
Last Modified: | 07 Sep 2017 22:41 |
Published Version: | http://dx.doi.org/10.1007/s00520-016-3370-4 |
Status: | Published |
Publisher: | Springer Verlag |
Identification Number: | 10.1007/s00520-016-3370-4 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:103433 |