{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T06:07:22Z","timestamp":1765606042021,"version":"3.48.0"},"reference-count":20,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2016,7,4]]},"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Fever in the returned traveller is a potential medical emergency warranting prompt attention to exclude life-threatening illnesses. However, prolonged evaluation in the emergency department (ED) may not be required for all patients. As a quality improvement initiative, we implemented an algorithm for rapid assessment of febrile travelers (RAFT) in an ambulatory setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Criteria for RAFT referral include: presentation to the ED, reported fever and travel to the tropics or subtropics within the past year. Exclusion criteria include\n                      <jats:italic>Plasmodium falciparum<\/jats:italic>\n                      malaria, and fulfilment of admission criteria such as unstable vital signs or significant laboratory derangements. We performed a time series analysis preimplementation and postimplementation, with primary outcome of wait time to tropical medicine consultation. Secondary outcomes included number of ED visits averted for repeat malaria testing, and algorithm adherence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From February 2014 to December 2015, 154 patients were seen in the RAFT clinic: 68 men and 86 women. Median age was 36\u2005years (range 16\u201378\u2005years). Mean time to RAFT clinic assessment was 1.2\u00b10.07\u2005days (range 0\u20134\u2005days) postimplementation, compared to 5.4\u00b11.8\u2005days (range 0\u201326\u2005days) prior to implementation (p&lt;0.0001). The RAFT clinic averted 132 repeat malaria screens in the ED over the study period (average 6 per month). Common diagnoses were: traveller's diarrhoea (n=27, 17.5%), dengue (n=12, 8%), viral upper respiratory tract infection (n=11, 7%), chikungunya (n=10, 6.5%), laboratory-confirmed influenza (n=8, 5%) and lobar pneumonia (n=8, 5%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In addition to provision of more timely care to ambulatory febrile returned travellers, we reduced ED bed-usage by providing an alternate setting for follow-up malaria screening, and treatment of infectious diseases manageable in an outpatient setting, but requiring specific therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2015-010302","type":"journal-article","created":{"date-parts":[[2016,7,29]],"date-time":"2016-07-29T21:39:44Z","timestamp":1469828384000},"page":"e010302","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Evaluation of a programme for \u2018Rapid Assessment of Febrile Travelers\u2019 (RAFT): a clinic-based quality improvement initiative"],"prefix":"10.1136","volume":"6","author":[{"given":"Farah","family":"Jazuli","sequence":"first","affiliation":[{"name":"Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terence","family":"Lynd","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jordan","family":"Mah","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Klowak","sequence":"additional","affiliation":[{"name":"McMaster University, Hamilton, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dale","family":"Jechel","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefanie","family":"Klowak","sequence":"additional","affiliation":[{"name":"Tropical Disease Unit, Division of Infectious Diseases, UHN-Toronto General Hospital, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Howard","family":"Ovens","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada"},{"name":"Schwartz\/Reisman Emergency Medicine Institute, Sinai Health System, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sam","family":"Sabbah","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University Health Network, Toronto, Ontario, Canada"},{"name":"Department of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea K","family":"Boggild","sequence":"additional","affiliation":[{"name":"Tropical Disease Unit, Division of Infectious Diseases, UHN-Toronto General Hospital, Toronto, Ontario, Canada"},{"name":"Department of Medicine, University of Toronto, Toronto, Ontario, Canada"},{"name":"Public Health Ontario Laboratories, Public Health Ontario, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,7,29]]},"reference":[{"key":"2025121222024262000_6.7.e010302.1","first-page":"e20","article-title":"Travel acquired infections and illnesses in Canadians: surveillance report from CanTravNet surveillance data, 2009\u20132011","volume":"8","author":"Boggild","year":"2014","journal-title":"Open Med"},{"key":"2025121222024262000_6.7.e010302.2","first-page":"654","article-title":"Malaria deaths in visitors to Canada and in Canadian travellers: a case series","volume":"164","author":"Kain","year":"2001","journal-title":"CMAJ"},{"key":"2025121222024262000_6.7.e010302.3","doi-asserted-by":"publisher","DOI":"10.1186\/s12936-015-0638-y"},{"key":"2025121222024262000_6.7.e010302.4","doi-asserted-by":"crossref","first-page":"313","DOI":"10.14745\/ccdr.v40i16a01","article-title":"Travel acquired infections in Canada: CanTravNet 2011\u20142012","volume":"40","author":"Boggild","year":"2014","journal-title":"Can Commun Dis Rep"},{"key":"2025121222024262000_6.7.e010302.5","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.090171"},{"key":"2025121222024262000_6.7.e010302.6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.14745\/ccdr.v37i00a03","article-title":"For the Committee to Advise on Tropical Medicine and Travel (CATMAT). 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