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Clinical Pediatrics
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Parental Compliance with After Hours Telephone Triage Advice: Nurse Advice Service versus On-Call Pediatricians

Thomas J. Lee

Emergency Medicine Center, David Geffen School of Medicine at UCLA

Larry J. Baraff

Emergency Medicine Center, David Geffen School of Medicine at UCLA, Department of Pediatrics, David Geffen School of Medicine at UCLA

Stephen P. Wall

Emergency Medicine Center, David Geffen School of Medicine at UCLA

Judith Guzy

Emergency Medicine Center, David Geffen School of Medicine at UCLA

David Johnson

McKesson Access Health Services, Broomfield, Colorado

Heide Woo

Department of Pediatrics, David Geffen School of Medicine at UCLA

To compare parental compliance with after-hours triage advice provided by telephone advice nurses and on-call pediatricians, a randomized controlled trial was undertaken at a university general pediatrics practice that enrolled parents or guardians calling for after-hours advice. Advice calls were randomized to a call center advice nurse or the on-call pediatrician. Parental compliance with the triage advice and agreement of the parental report of advice with the pediatrician/nurse report of advice given was evaluated. There were 566 participants in the pediatrician and 616 in the nurse group. Compliance with advice (pediatrician v. nurse) was not significantly different for emergent/urgent care (75.8% v. 72.6%) and self care (74.3% v. 77.2%) but was significantly higher in the pediatrician group for office care (51.5% v. 29.6%; 95% CI of difference, 8.9%-34.2%). Overall agreement between the caller reported and physician or nurse advice was 84.5% for emergent/ urgent, 42.7% for office care, and 93.7% for self-care. Clin Pediatr. 2003;42:613-619

Clinical Pediatrics, Vol. 42, No. 7, 613-619 (2003)
DOI: 10.1177/000992280304200707
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K. L. Black
Standardization of Telephone Triage in Pediatric Oncology
Journal of Pediatric Oncology Nursing, August 1, 2007; 24(4): 190 - 199.
[Abstract] [PDF]