| Titre : | Transforming maternity triage at University Hospitals Dorset (2024) |
| Auteurs : | Akeisha Robinson |
| Type de document : | Article : texte imprimé |
| Dans : | Midirs. Midwifery Digest (Vol. 34, n° 4, décembre 2024) |
| Article en page(s) : | p. 328-330 |
| Langues: | Anglais |
| Sujets : |
Paramédical (MeSH) Accessibilité des services de santé ; Femmes enceintes ; Maternités (hôpital) ; Période du postpartum ; Rendez-vous et plannings ; Soins infirmiers maternels et infantiles ; Triage ; Urgences |
| Résumé : |
Maternity care in the UK is based on a planned schedule of antenatal and postnatal appointments (National Institute of Health and Care Excellence (NICE) 2021). Historically, if a woman needed to access maternity services outside these scheduled appointments, she would have been directed to the labour ward. This way of providing urgent care meant that staff on the labour ward were redirected from labour care to assess and provide triage care for women who attended for unplanned treatment.
Recognising the need to provide a service that allowed for women to access care outside their scheduled appointments, many maternity units followed the national recommendation to deliver urgent, unplanned care into a dedicated area that sat outside the labour ward setting. Most maternity hospitals adopted a model whereby women were seen with a maternity day assessment unit. The care given in this model would often follow local and sometimes regional policies and guidelines, and women were often assessed in order of their arrival, as opposed to their presenting symptoms. There was no standardised process in the maternity setting to clinically assess and prioritise the urgency of care required by women who presented to maternity services with problems and concerns during their pregnancy and early postnatal period. This inherent flaw was highlighted in confidential enquiry reports and through reports from the Care Quality Commission (CQC) (HSIB 2021, Knight et al 2023). Recommendations were for a process for urgent maternity care like that used within accident and emergency teams. This would facilitate women arriving in the maternity department and triaged based on the urgency and severity of their presenting symptoms, and ensuring those who needed immediate care received this in a timely manner. This service improvement heralded the arrival of the Birmingham Symptom Specific Obstetric Triage System (BSOTS), developed by researchers and clinicians from Birmingham Women's Hospital and the University of Birmingham, aimed to provide a method of triaging patients within maternity (Kenyon et al 2017). It involves a brief assessment of presenting symptoms for all women who attend maternity triage using a standardised process of assigning the clinical need and priority in which women need to be seen for their ongoing care needs. Since its launch, BSOTS has been adopted by many maternity units across the UK. |
Exemplaires (1)
| Localisation | Section | Support | Cote de rangement | Statut | Disponibilité |
|---|---|---|---|---|---|
| Bibliothèque Paramédicale | Périodiques | Périodique | MID.DIG. 24-4 | Empruntable | Disponible |
