A systems analysis of obstetric triage
A systems analysis of obstetric triage
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DOI：
10.1097/01.jpn.0000299789.47161.8a
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发表时间：
2007-10-01
影响因子：
1.3
通讯作者：
Bernstein, Bruce
中科院分区：
文献类型：
--
作者：
Zocco, Jeanette;Williams, Mary Jane;Bernstein, Bruce
目的：本研究的目的是探讨产科分诊中涉及的一些变量，以努力发展一个更有效的病人护理提供系统，在一个高容量的产科单位。一个有效的分诊系统是必不可少的忙碌繁忙的劳动和交付单位的评估计划外的病人访问。在缺乏有效的产科分流系统的医院，很难控制病人流量和等待时间。方法：这项研究的目的是确定是否分诊室和/或常备订单减少住院时间相比，现有的系统评估妇女在劳动室。在2个独立的阶段，符合分诊标准的妇女被随机分配到分诊室或标准护理分娩室。在第1阶段，评价了房间分配的影响。在第2阶段，房间分配的影响，并在常见的产科问题常设订单的干预。总样本量为398例患者。这项研究在一个中等规模的分娩单位进行，在一个学术医疗中心，平均每年有3600名新生儿出生。结果：结果表明，使用分诊室和/或常备订单没有显着减少住院时间。结论：这项研究的结果表明，在这种情况下的分流过程是强烈依赖于供应商的可用性，以评估，分流，并出院的病人。
Objective: The purpose of this study is to examine some of the variables involved in obstetric triage in an effort to develop a more efficient patient care delivery system in a high-volume obstetric unit. An efficient triage system is essential to a busy labor and delivery unit for the evaluation of unscheduled patient visits. In hospitals that lack an efficient obstetric triage system, it is very difficult to regulate patient flow and wait times. Method: The study was designed to determine whether a triage room and/or standing orders decreased length of stay as compared to the existing system of evaluating women in labor rooms. In 2 separate phases, women who met triage criteria were randomly assigned to either the triage room or the standard care labor room. During phase 1, the effect of room assignment was evaluated. During phase 2, the effect of room assignment and the intervention of standing orders in common obstetric problems were utilized. The total sample size was 398 patients. The study took place on a midsize labor and delivery unit, in an academic medical center averaging 3600 births per year. Results: Results showed that using a triage room and/or standing orders did not significantly decrease length of stay. Conclusion: The results of this study suggest that the triage process in this setting is strongly dependent on the provider's availability to assess, triage, and discharge patients.