Patient Education and Outreach, Association of Women's Health, Obstetric & Neonatal Nurses, Washington, DC, United States.
Perinatal Clinical Practice, Integrated Clinical Services Team (ICST), Trinity Health, Livonia, MI, United States.
Semin Perinatol. 2020 Jun;44(4):151240. doi: 10.1016/j.semperi.2020.151240. Epub 2020 Mar 13.
Triage in healthcare is sorting patients by acuity to prioritize them for full evaluation. Standardizing this process with the use of triage acuity classification tools has been shown to improve patient flow and quality of care in the emergency department. The American College of Obstetricians and Gynecologists recommends that pregnant women be triaged based on acuity, rather than time of arrival, and that obstetric triage acuity scales can serve as templates for use at the facility level. Three obstetric triage acuity scales developed in North America are reviewed and the implementation of one in a system with 40 birth hospitals is described. Use of obstetric triage acuity scales resulted in timelier initial assessment and decreased wait times. Acuity, volume, and trends data helped improve nurse and provider staffing in triage units. These findings support the promise of obstetric triage acuity scales to promote efficient care.
医疗分诊是根据病情严重程度对患者进行分类，以便为他们进行全面评估。使用分诊严重程度分类工具来标准化这个过程，已被证明可以改善急诊部门的患者流程和护理质量。美国妇产科医师学会建议根据病情严重程度对孕妇进行分诊，而不是根据到达时间，并且产科分诊严重程度量表可以作为在医疗机构使用的模板。本文回顾了北美开发的三种产科分诊严重程度量表，并描述了在一个拥有 40 家分娩医院的系统中实施其中一种量表的情况。使用产科分诊严重程度量表可实现更及时的初步评估和减少等待时间。严重程度、数量和趋势数据有助于改善分诊单位的护士和提供者人员配置。这些发现支持产科分诊严重程度量表在促进高效护理方面的前景。
