Implementation of an obstetric triage decision aid into a maternity assessment unit and emergency department

Mary F McCarthy*, Wendy E Pollock, Susan J McDonald

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

The obstetric triage decision aid (OTDA) consists of 10 common pregnancy complaints with key signs and symptoms generating a triage score based on targeted questioning responses. It was developed to provide a standardised approach for obstetric triage conducted by midwives and emergency nurses as neither professional group are expert in the triage of pregnant and postpartum women. To evaluate implementation of the OTDA into an emergency department (ED) and maternity assessment unit (MAU). The OTDA was introduced to the ED and MAU of a hospital in Australia. A range of implementation strategies were utilised and assessed by pre and post staff survey, and a three-month post-audit of unscheduled maternity presentations. The primary outcome was adoption rate of the OTDA. Secondary outcomes were staff confidence and waiting times. Analyses were undertaken using SPSS (v24). Paired analysis was conducted on staff surveys. There were a total of 2829 unscheduled presentations: ED (n=708) and MAU (n=2121), 88.1% were triaged using the OTDA, used more in the MAU than the ED (93.2% vs 72.7%; p
Original languageEnglish
Number of pages11
JournalWomen and Birth
Early online date25 Jun 2021
DOIs
Publication statusE-pub ahead of print - 25 Jun 2021

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