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10.1093/jamia/ocaa051

http://scihub22266oqcxt.onion/10.1093/jamia/ocaa051
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suck abstract from ncbi


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pmid32267928      J+Am+Med+Inform+Assoc 2020 ; 27 (6): 860-866
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  • Rapid design and implementation of an integrated patient self-triage and self-scheduling tool for COVID-19 #MMPMID32267928
  • Judson TJ; Odisho AY; Neinstein AB; Chao J; Williams A; Miller C; Moriarty T; Gleason N; Intinarelli G; Gonzales R
  • J Am Med Inform Assoc 2020[Jun]; 27 (6): 860-866 PMID32267928show ga
  • OBJECTIVE: To rapidly deploy a digital patient-facing self-triage and self-scheduling tool in a large academic health system to address the COVID-19 pandemic. MATERIALS AND METHODS: We created a patient portal-based COVID-19 self-triage and self-scheduling tool and made it available to all primary care patients at the University of California, San Francisco Health, a large academic health system. Asymptomatic patients were asked about exposure history and were then provided relevant information. Symptomatic patients were triaged into 1 of 4 categories-emergent, urgent, nonurgent, or self-care-and then connected with the appropriate level of care via direct scheduling or telephone hotline. RESULTS: This self-triage and self-scheduling tool was designed and implemented in under 2 weeks. During the first 16 days of use, it was completed 1129 times by 950 unique patients. Of completed sessions, 315 (28%) were by asymptomatic patients, and 814 (72%) were by symptomatic patients. Symptomatic patient triage dispositions were as follows: 193 emergent (24%), 193 urgent (24%), 99 nonurgent (12%), 329 self-care (40%). Sensitivity for detecting emergency-level care was 87.5% (95% CI 61.7-98.5%). DISCUSSION: This self-triage and self-scheduling tool has been widely used by patients and is being rapidly expanded to other populations and health systems. The tool has recommended emergency-level care with high sensitivity, and decreased triage time for patients with less severe illness. The data suggests it also prevents unnecessary triage messages, phone calls, and in-person visits. CONCLUSION: Patient self-triage tools integrated into electronic health record systems have the potential to greatly improve triage efficiency and prevent unnecessary visits during the COVID-19 pandemic.
  • |*Appointments and Schedules[MESH]
  • |*Betacoronavirus[MESH]
  • |*Coronavirus Infections/diagnosis/epidemiology[MESH]
  • |*Diagnostic Self Evaluation[MESH]
  • |*Medical Records Systems, Computerized[MESH]
  • |*Pandemics[MESH]
  • |*Patient Participation[MESH]
  • |*Patient Portals[MESH]
  • |*Pneumonia, Viral/diagnosis/epidemiology[MESH]
  • |Academic Medical Centers[MESH]
  • |Adult[MESH]
  • |COVID-19[MESH]
  • |Humans[MESH]
  • |SARS-CoV-2[MESH]
  • |San Francisco[MESH]
  • |Self Care[MESH]
  • |Telemedicine/organization & administration[MESH]


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