Exploring the third delay: an audit evaluating obstetric triage at Mulago National Referral Hospital.
Exploring the third delay: an audit evaluating obstetric triage at Mulago National Referral Hospital.
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DOI：
10.1186/s12884-016-1098-2
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发表时间：
2016-10-10
影响因子：
3.1
通讯作者：
Byamugisha J
中科院分区：
文献类型：
--
作者：
Forshaw J;Raybould S;Lewis E;Muyingo M;Weeks A;Reed K;Manikam L;Byamugisha J
穆拉戈国家转诊医院拥有撒哈拉以南非洲最大的产科。它位于乌干达，那里的产妇死亡率为每10万活产310人。2010年，医院建立了“红绿灯系统”，对每天前来就诊的大量病人进行快速分类。本研究的目的是评估Mulago医院产科分诊系统在入院时间方面的有效性，并确定紧急病例和影响该系统的不利因素。对穆拉戈医院产科住院部进行了前瞻性审计。使用两种数据收集工具从标记的患者旅程中获取数据，并使用Microsoft Excel进行编译。使用StatsDirect组成图表来说明结果。在女性旅程的第一个检查站，非正式的分诊率为46%，但“红绿灯系统”没有被使用，许多患者的生命体征没有被记录下来。据推测，由于“红绿灯系统”的重点是检查发现和诊断，因此没有被使用，这意味着它不适合患者旅程的早期阶段。用一种简单的算法来代替它，将女性按照她们需要被看到的紧急程度进行分类，可以纠正这一问题。
Mulago National Referral Hospital has the largest maternity unit in sub-Saharan Africa. It is situated in Uganda, where the maternal mortality ratio is 310 per 100,000 live births. In 2010 a ‘Traffic Light System’ was set up to rapidly triage the vast number of patients who present to the hospital every day. The aim of this study was to evaluate the effectiveness of the obstetric department’s triage system at Mulago Hospital with regard to time spent in admissions and to identify urgent cases and factors adversely affecting the system. A prospective audit of the obstetric admissions department was carried out at the Mulago Hospital. Data were obtained from tagged patient journeys using two data collection tools and compiled using Microsoft Excel. StatsDirect was used to compose graphs to illustrate the results. Informal triage was occurring 46 % of the time at the first checkpoint in a woman’s journey, but the ‘Traffic Light System’ was not being used and many of the patient’s vital signs were not being recorded. It is hypothesised that the ‘Traffic Light System’ is not being used due to its focus on examination finding and diagnosis, implying that it is not suitable for an early stage in the patient’s journey. Replacing it with a simple algorithm to categorise women into the urgency with which they need to be seen could rectify this.
DOI：
10.1097/nmc.0b013e318226609c
发表时间：
2011-09-01
影响因子：
2.4
作者：
Paisley, Kathleen S.;Wallace, Ruth;DuRant, Patricia G.
通讯作者：
DuRant, Patricia G.
DOI：
10.1097/01.jpn.0000299789.47161.8a
发表时间：
2007-10-01
影响因子：
1.3
作者：
Zocco, Jeanette;Williams, Mary Jane;Bernstein, Bruce
通讯作者：
Bernstein, Bruce
影响因子：
5.2
作者：
Robertson, MA;Molyneux, EM
通讯作者：
Molyneux, EM