Implementing risk-appropriate maternity care-based triage model at a tertiary care teaching institute: an organisational quality improvement initiative to optimise risk and resources
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
View abstract on PubMed
Summary
This summary is machine-generated.A new risk-appropriate triage model reduced hospital births by 41%, improving care quality for high-risk pregnancies. This system enhanced patient outcomes and resource management in maternity services.
Area Of Science
- Maternal Health
- Healthcare Management
- Public Health Interventions
Background
- Regional perinatal center experienced a surge in annual births, nearing 19,000 in 2019, leading to resource strain.
- COVID-19 pandemic restrictions reduced low-risk births, prompting the development of a new triage system.
- The study aimed to implement and evaluate a risk-appropriate triage model for maternity care.
Purpose Of The Study
- To design and implement a risk-appropriate triage model referral system.
- To examine the impact of the triage model on birth rates and quality of care.
- To improve resource allocation and patient management in a high-volume perinatal center.
Main Methods
- Analysis of childbirth data from 2019 and district demographics.
- Collaborative discussions with district health administrators on triage implementation.
- Antenatal clinic triage by a dedicated team, referring cases to appropriate facilities.
- Utilized WhatsApp for information sharing on referred and transferred patients.
- Assessed impact via changes in birth numbers, risk proportions, quality indicators, and staff feedback.
Main Results
- Average monthly births decreased from 1530 (2019) to 900 (2023) post-triage implementation (Dec 2022).
- Quality indicators like stillbirth and scar rupture rates declined; C-section rates increased from 20% to 30%.
- Observed improved staff satisfaction, a shift towards higher-risk pregnancies, and reduced bed occupancy, averting overcrowding.
Conclusions
- A 'risk-appropriate maternity care-based triage model' is feasible and effective.
- The model successfully reduced low-risk births at the tertiary care institute.
- Implementation improved the quality of care for high-risk women within the system.
Keywords:
Maternal health
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
Related Concept Videos
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The first step is reassessing the client, a continuous process every time a nurse interacts with a patient, obtains new data,...
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Documentation and Monitoring of Patient Care: HIT systems facilitate the efficient recording and tracking of patient data, aiding healthcare providers in monitoring patients' health status and making informed decisions.
Managerial and Organizational Functions: Beyond patient care, HIT is...