The Development of an Obstetric Triage Acuity Tool

The Development of an Obstetric Triage Acuity Tool
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DOI:
10.1097/nmc.0b013e318226609c
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发表时间:
2011-09-01
影响因子:
2.4
通讯作者:
DuRant, Patricia G.
DuRant, Patricia G.
中科院分区:
医学4区
文献类型:
--
作者:
Paisley, Kathleen S.;Wallace, Ruth;DuRant, Patricia G.

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本文的目的是描述一个多校区医院系统采取了改进产科分诊过程的旅程。回顾文献发现目前没有全面的产科视力工具,因此我们的团队开发了一个具有患者流程的工具,修订和更新了分诊护士的能力,然后教育护士关于新的工具和流程。收集数据以评估新流程在以下方面的功能:在患者到达时分配视力,根据患者的投诉提供适当的视力,并在规定的时间间隔内启动医疗筛查检查。最初的数据表明,流程仍然不是最佳的,并为所有分诊护士提供了再教育。这改善了所有数据点。这个QI项目的结果是,我们现在可以在指定的时间框架内根据患者的视力进行检查。
The purpose of this article is to describe the journey a multicampus hospital system took to improve the obstetric triage process. A review of literature revealed no current comprehensive obstetric acuity tool, and thus our team developed a tool with a patient flow process, revised and updated triage nurse competencies, and then educated the nurses about the new tool and process. Data were collected to assess the functionality of the new process in assigning acuity upon patient arrival, conveying appropriate acuities based on patient complaints, and initiating the medical screening examination, all within prescribed time intervals. Initially data indicated that processes were still not optimal, and re-education was provided for all triage nurses. This improved all data points. The result of this QI project is that our patients are now seen based on their acuity within designated time frames.