The design and implementation of an obstetric triage system for unscheduled pregnancy related attendances: a mixed methods evaluation.

ABSTRACT:

Background

No standardised system of triage exists in Maternity Care and local audit identified this to be problematic. We designed, implemented and evaluated an Obstetric Triage System in a large UK maternity unit. This includes a standard clinical triage assessment by a midwife, within 15 min of attendance, leading to assignment to a category of clinical urgency (on a 4-category scale). This guides timing of subsequent standardised immediate care for the eight most common reasons for attendance. A training programme was integral to the introduction.

Methods

A mixed methods evaluation was conducted. A structured audit of 994 sets of maternity notes before and after implementation identified the number of women seen within 15 min of attendance. Secondary measures reviewed in

SUBMITTER: Kenyon S 

PROVIDER: S-EPMC5604363 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature