{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T21:33:52Z","timestamp":1792100032760,"version":"4.4.0"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,1,22]],"date-time":"2020-01-22T00:00:00Z","timestamp":1579651200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The increased workload in emergency medical services (EMS) is a global phenomenon in welfare states. It has been suggested that telephone triage by nurses may reduce the increasing use of EMS services, by directing patient flow to appropriate care. This study aimed to investigate whether, after an emergency medical communication centre (EMCC) provider assessed risk, a telephone nurse could assess the patient\u2019s needs and guide patients to social and health care services in non\u2010urgent cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This prospective observational study was performed in the Kainuu Hospital District in northern Finland from March to April 2018. All EMS requests classified as non\u2010urgent by the EMCC were transferred to a telephone triage nurse. Subsequent patient guidance was recorded. The International Classifications of Primary Care categories were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We studied phone calls of 700 patients with non\u2010urgent needs. Of these, the nurse transferred 63.7% to EMS and 17.3% were guided to other social and health care services. Nineteen per cent of the calls were handled over the phone by the nurse, who provided health advice and instructions. The most common needs for care were general and unspecified symptoms, musculoskeletal symptoms, mental health problems and substance abuse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>By providing telephone counseling, care instructions and patient guidance to other social and health services than EMS, the telephone triage reduced non\u2010urgent EMS missions by one third. The results imply that telephone triage could be a viable model for managing non\u2010urgent missions. Patient safety issues should be monitored when developing new service concepts.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.13542","type":"journal-article","created":{"date-parts":[[2020,1,3]],"date-time":"2020-01-03T06:55:41Z","timestamp":1578034541000},"page":"556-563","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Telephone triage performed by nurses reduces non\u2010urgent ambulance missions: A prospective observational pilot study in Finland"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9783-4743","authenticated-orcid":false,"given":"Petri","family":"Roivainen","sequence":"first","affiliation":[{"name":"Research Unit of Nursing Science and Health Management University of Oulu Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2950-3571","authenticated-orcid":false,"given":"Marko J.","family":"Hoikka","sequence":"additional","affiliation":[{"name":"Emergency Medical Services Kainuu Central Hospital Kajaani Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5537-9749","authenticated-orcid":false,"given":"Lasse","family":"Raatiniemi","sequence":"additional","affiliation":[{"name":"Centre for Pre\u2010Hospital Emergency Care Oulu University Hospital Oulu Finland"},{"name":"Anaesthesia Research group MRC Oulu University Hospital and University of Oulu Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Silfvast","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care University of Helsinki Helsinki University Central Hospital Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tero","family":"Ala\u2010Kokko","sequence":"additional","affiliation":[{"name":"Research Group of Surgery, Anaesthesia and Intensive Care Medicine University of Oulu Medical Research Center Division of Intensive Care Oulu University Hospital Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"K\u00e4\u00e4ri\u00e4inen","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Research Unit of Nursing Science and Health Management University of Oulu Medical Research Centre University Hospital of Oulu Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,1,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH15134"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-017-0409-6"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/aas.12889"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/aas.13103"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X15005567"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-016-0336-y"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/aas.13071"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X15571650"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2003.008003"},{"key":"e_1_2_8_11_1","first-page":"3216\u201331. 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(Finnis","article-title":"Quasi\u2010experimental study on the quality of telephone counseling in the emergency unit","volume":"24","author":"Tarkiainen K","year":"2012","journal-title":"Nursing Science"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/10903127.2013.811563"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2015.09.001"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-016-0258-8"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/17.2.101"},{"key":"e_1_2_8_17_1","first-page":"8","article-title":"Patient and case characteristics associated with 'no paramedic treatment' for low\u2010acuity cases referred for emergency ambulance dispatch following a secondary telephone triage: A retrospective cohort study. Scand J Trauma Resusc","volume":"26","author":"Eastwood K","year":"2018","journal-title":"Emerg Med"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/MEJ.0b013e3280146508"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2013-202545"}],"container-title":["Acta Anaesthesiologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Faas.13542","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aas.13542","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aas.13542","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aas.13542","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,3]],"date-time":"2023-09-03T13:24:49Z","timestamp":1693747489000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/aas.13542"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,22]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,4]]}},"alternative-id":["10.1111\/aas.13542"],"URL":"https:\/\/doi.org\/10.1111\/aas.13542","archive":["Portico"],"relation":{},"ISSN":["0001-5172","1399-6576"],"issn-type":[{"value":"0001-5172","type":"print"},{"value":"1399-6576","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,22]]},"assertion":[{"value":"2019-09-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-12-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-01-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}