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Obstetric Telephone Triage
OBJECTIVE: Little is known about obstetric telephone triage: the methods used to prioritize the severity of symptoms of obstetric emergency and other unplanned care requests originating by telephone. In large-scale obstetric units, there is a need for an evidence-based triage guideline. The aim of t...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7652238/ https://www.ncbi.nlm.nih.gov/pubmed/33177905 http://dx.doi.org/10.2147/RMHP.S277464 |
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author | Engeltjes, Bernice Wouters, Eveline Rijke, Rudy Scheele, Fedde |
author_facet | Engeltjes, Bernice Wouters, Eveline Rijke, Rudy Scheele, Fedde |
author_sort | Engeltjes, Bernice |
collection | PubMed |
description | OBJECTIVE: Little is known about obstetric telephone triage: the methods used to prioritize the severity of symptoms of obstetric emergency and other unplanned care requests originating by telephone. In large-scale obstetric units, there is a need for an evidence-based triage guideline. The aim of this study was to develop an obstetric guideline for telephonic triage. DESIGN, SETTING AND PARTICIPANTS: A multi-phase multi-center study was performed with consecutive drafts of the triage guideline using four focus groups, four observations of training sessions and two expert consultations based on the Delphi method. The study was performed in ten hospitals in the Netherlands. The obstetric care professionals involved were gynecologists, midwives, nurses, doctor’s assistants, team managers and application managers. After each focus group, each observation and each expert consultation, an interpretative analysis was undertaken. Based on these analyses, the obstetric telephone triage guideline was drafted. MEASUREMENTS AND RESULTS: The designed guideline describes the primary symptoms presented, five prioritization categories and several descriptors. Consensus (>90%) was reached during the second expert consultation. Fifty-seven (91.9%) participants stated that the obstetric telephone triage guideline was clinically complete, correct, user-friendly and well designed, and 61 (98.4%) participants judged that the newly designed triage guideline was ready to use in daily practice. KEY-CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: An evidence-based guideline for obstetric telephone triage was developed through a multi-phase multi-center study with all stakeholders. The guideline was found to be clinically complete, correct, well-designed and user-friendly. It provides a uniform and concrete basis for assessing the severity of the symptoms of obstetric emergency and other unplanned care requests originating by telephone. It also provides a good basis to further develop this evidence-based guideline for telephone triage by continuous registration of all calls. |
format | Online Article Text |
id | pubmed-7652238 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-76522382020-11-10 Obstetric Telephone Triage Engeltjes, Bernice Wouters, Eveline Rijke, Rudy Scheele, Fedde Risk Manag Healthc Policy Original Research OBJECTIVE: Little is known about obstetric telephone triage: the methods used to prioritize the severity of symptoms of obstetric emergency and other unplanned care requests originating by telephone. In large-scale obstetric units, there is a need for an evidence-based triage guideline. The aim of this study was to develop an obstetric guideline for telephonic triage. DESIGN, SETTING AND PARTICIPANTS: A multi-phase multi-center study was performed with consecutive drafts of the triage guideline using four focus groups, four observations of training sessions and two expert consultations based on the Delphi method. The study was performed in ten hospitals in the Netherlands. The obstetric care professionals involved were gynecologists, midwives, nurses, doctor’s assistants, team managers and application managers. After each focus group, each observation and each expert consultation, an interpretative analysis was undertaken. Based on these analyses, the obstetric telephone triage guideline was drafted. MEASUREMENTS AND RESULTS: The designed guideline describes the primary symptoms presented, five prioritization categories and several descriptors. Consensus (>90%) was reached during the second expert consultation. Fifty-seven (91.9%) participants stated that the obstetric telephone triage guideline was clinically complete, correct, user-friendly and well designed, and 61 (98.4%) participants judged that the newly designed triage guideline was ready to use in daily practice. KEY-CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: An evidence-based guideline for obstetric telephone triage was developed through a multi-phase multi-center study with all stakeholders. The guideline was found to be clinically complete, correct, well-designed and user-friendly. It provides a uniform and concrete basis for assessing the severity of the symptoms of obstetric emergency and other unplanned care requests originating by telephone. It also provides a good basis to further develop this evidence-based guideline for telephone triage by continuous registration of all calls. Dove 2020-11-05 /pmc/articles/PMC7652238/ /pubmed/33177905 http://dx.doi.org/10.2147/RMHP.S277464 Text en © 2020 Engeltjes et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Engeltjes, Bernice Wouters, Eveline Rijke, Rudy Scheele, Fedde Obstetric Telephone Triage |
title | Obstetric Telephone Triage |
title_full | Obstetric Telephone Triage |
title_fullStr | Obstetric Telephone Triage |
title_full_unstemmed | Obstetric Telephone Triage |
title_short | Obstetric Telephone Triage |
title_sort | obstetric telephone triage |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7652238/ https://www.ncbi.nlm.nih.gov/pubmed/33177905 http://dx.doi.org/10.2147/RMHP.S277464 |
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