ROLE OF OBSTETRIC TRIAGE IN IMPROVING PATIENT HEALTH CARE AT CMH KHARIAN-A COMPARITIVE STUDY.
In: Pakistan Armed Forces Medical Journal, Jg. 70 (2020-12-01), Heft 6, S. 1792-1798
Online
academicJournal
Zugriff:
Objective: To evaluate the up gradation of obstetric patient care by using obstetrics-specific triage acuity tool. Study Design: Comparative prospective study. Place and Duration of Study: This study was conducted at obstetrics unit of Combined Military Hospital (CMH) Kharian, from Jun to Dec 2018. Methodology: Pregnant patients were triaged and prioritized according to maternal fetal triage index (MFTI) into five levels. Primary outcome was time to triage and management plan documentation. Patient and health care provider satisfaction was evaluated using Likert’s scale before and after implementation of maternal fetal triage index. Data was collected and expressed in frequencies and percentage. Chi square test was applied for association between before and after triage intervention variables, and a p-value ≤0.05 was considered significant. Results: A total of 1000 pregnant patients referred to OPD were enrolled, 500 patients before and 500 after implementation of triage. Patients were prioritized using maternal fetal triage system. Majority of the patients were in category five 244 (48.8%) followed by category four 150 (30%), category three 68 (13.6%), category four 28 (5.6%) and category one 10 (2%) respectively. There was significant reduction in waiting time from 35.4 ± 8.2 minutes to 18.2 ± 6.5 p<0.002. Hospital complaints reduced significantly from 25 (5%) in before group to 4 (0.8%) p<0.001 after application of obstetric triage. Conclusion: Using a standardized triage system improved patient care and resulted in patient and provider satisfaction both. Patients waiting and disposal time were markedly reduced. There were significant reductions in hospital complaints, maternal and fetal morbidity and mortality. [ABSTRACT FROM AUTHOR]
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Titel: |
ROLE OF OBSTETRIC TRIAGE IN IMPROVING PATIENT HEALTH CARE AT CMH KHARIAN-A COMPARITIVE STUDY.
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Autor/in / Beteiligte Person: | Ansari, Asma ; Akram, Umbreen ; Khalil, Hafsa ; Imran, Ayesha |
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Zeitschrift: | Pakistan Armed Forces Medical Journal, Jg. 70 (2020-12-01), Heft 6, S. 1792-1798 |
Veröffentlichung: | 2020 |
Medientyp: | academicJournal |
ISSN: | 0030-9648 (print) |
DOI: | 10.51253/pafmj.v70i6.3247 |
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