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Supportive Care in Cancer

, Volume 24, Issue 12, pp 5041–5048 | Cite as

An audit of acute oncology services: patient experiences of admission procedures and staff utilisation of a new telephone triage system

  • Lorraine Warrington
  • Patricia Holch
  • Lucille Kenyon
  • Ceri Hector
  • Krystina Kozlowska
  • Anne Marie Kenny
  • Lucy Ziegler
  • Galina Velikova
Original Article

Abstract

Objectives

In 2010, St. James Institute of Oncology (Leeds, UK) created a new acute oncology service (AOS) consisting of a new admissions unit with a nurse-led telephone triage (TT) system. This audit cycle (March 2011 and June 2013) evaluated patient experiences of the reconfigured AOS and staff use of the TT system.

Methods

Patient views were elicited via a questionnaire and semi-structured interviews. The TT forms were analysed descriptively evaluating completion and data quality, reported symptoms and their severity and advice given (including admission rates).

Results

Patients (n = 40) reported high satisfaction with the new AOS. However, 56 % of patients delayed 2 days or more before contacting the unit. In 2011, 26 % of all the admitted patients were triaged via the TT system; 133 TT forms were completed. In June 2013, 49 % of the admitted patients were triaged; 264 forms were completed. The most commonly reported symptoms on the TT forms were pain, pyrexia/rigors/infection, diarrhoea, vomiting and dyspnoea. Half of the patients using the TT system were admitted (52 % in 2011, 49 % in 2013).

Conclusions

Our audit provided evidence of successful implementation of the TT system with the number of TT forms doubling from 2011 to 2013. The new AOS was endorsed by patients, with the majority satisfied with the care they received.

Keywords

Oncology Acute admissions Adverse events Telephone triage Supportive care 

Notes

Acknowledgments

The authors would like to thank Dr. Geoff Hall, Dr. Alison Young and all AOS staff for their cooperation and support.

This work was carried out as part of the eRAPID Development Grant RP-DG-1209-10031; ISCTRN trial number CCT-NAPN-21338, funded by the National Institute for Health Research (NIHR).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Lorraine Warrington
    • 1
  • Patricia Holch
    • 1
  • Lucille Kenyon
    • 1
  • Ceri Hector
    • 1
  • Krystina Kozlowska
    • 2
  • Anne Marie Kenny
    • 2
  • Lucy Ziegler
    • 1
  • Galina Velikova
    • 1
  1. 1.Leeds Institute of Cancer and Pathology, Section of Patient Centred Outcomes ResearchUniversity of LeedsLeedsUK
  2. 2.St James’s Institute of OncologyLeeds Teaching Hospitals NHS TrustLeedsUK

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