Quality Improvement: Increasing Essential Visits in a Triage Clinic

Patients with cancer should report symptoms related to treatment, but many patients not actively being treated for disease present to oncology clinics for care that could be managed in other settings. These nonessential visits may lead to lessened appointment availability for patients with essential issues related to disease and treatment. In an outpatient breast cancer clinic, a quality improvement initiative was implemented to decrease the number of nonessential patient encounters and to increase the number of essential encounters. This intervention involved creating and implementing a triage protocol used by nursing staff to designate appropriate levels of care. Findings suggest that doing so can optimize workflow and improve patient access to essential disease- and treatment- related care.