{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:14:56Z","timestamp":1777673696998,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health\ufffdServ\ufffdInsights"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Patients performing self-triage for chest pain need to pick an algorithm which includes questions pertinent to chest pain to triage accurately.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Our study reviews patient self-triage choices and outcomes for patients who completed an online self-triage encounter before being triaged by a nurse for chest pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients who underwent telephone nurse triage for chest pain, and also had an online self-triage encounter within the prior 24\u2009hours were reviewed for the frequency with which they chose \u201cchest pain\u201d as their symptom to triage for during self-triage, whether they reported chest pain during the self-triage encounter (if asked as part of the algorithm for their chosen self-triage symptom) and whether the patient had any follow up evaluation within 1\u2009week.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were 70 self-triage and nurse triage dyads during the study period where triage nurses chose \u201cchest pain\u201d as the primary symptom to be triaged for during the telephone triage encounter. Of these, only 5 (7.1%) patients chose the \u201cchest pain\u201d self-triage option during online self-triage. During the self-triage encounter, 50 (71%) reported chest pain, 10 (14%) denied chest pain and 10 chose to self-triage their symptoms with an algorithm that did not include a question on whether chest pain was present. Of the 70 total dyads 59 (84%) had a follow up emergency department (40 patients) or office visit (19 patients) documented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Most patients chosen to be triaged for chest pain by triage nurses did not choose the online self-triage algorithm for chest pain even though the majority did report chest pain during their self-triage encounter (when asked). This is concerning from a safety perspective as a non-chest pain self-triage option chosen by the patient may not always ask about the presence or absence of chest pain and thus could increase the risk of being triaged inaccurately. Implications for improvement of self-triage could include diagrams for patients to choose the symptom area.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11786329251385022","type":"journal-article","created":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T09:06:36Z","timestamp":1761210396000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["To Choose or Not to Choose: Patients with Chest Pain Often Do Not Choose to Triage for Chest Pain During Online Self-Triage"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1970-1344","authenticated-orcid":false,"given":"Jennifer L.","family":"Pecina","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Mayo Clinic Rochester Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7341-7793","authenticated-orcid":false,"given":"Elizabeth N.","family":"Curry","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Mayo Clinic Rochester Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4646-1748","authenticated-orcid":false,"given":"Nathaniel E.","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Mayo Clinic Rochester Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0282-9181","authenticated-orcid":false,"given":"Matthew C.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Mayo Clinic Enterprise Office of Access Management, Mayo Clinic Rochester Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3696-4595","authenticated-orcid":false,"given":"Frederick","family":"North","sequence":"additional","affiliation":[{"name":"Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic Rochester Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,23]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2006.05.019"},{"key":"e_1_3_2_3_2","first-page":"1","article-title":"Online self-triage of ear or hearing concerns in a patient portal: comparison of subsequent diagnoses and hospitalizations to national emergency department and national ambulatory ear or hearing visits","volume":"10","author":"North F","year":"2023","unstructured":"North F, Jensen TB, Pecina J, et al Online self-triage of ear or hearing concerns in a patient portal: comparison of subsequent diagnoses and hospitalizations to national emergency department and national ambulatory ear or hearing visits. 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