Maternal fetal triage index vs. emergency severity index: increasing clinical safety by identifying and prioritising acutely unwell pregnant women

Lynsey Nisbet, Alan Walker, Jessica Cottam, Mariam Beena K. Thomas, Lauren Williams, Sinu Pappan, J.H. Anjali, Blessy Sujith, Sharmila Lohana, Sherin Mathew

Research output: Contribution to conferencePoster

Abstract

Method
A blind study comparing two triage tools.

Sampling
100 women were recruited via convenience and quota sampling.

Results
Statistical analysis was carried out using both the Freidman test and paired t-test. Initial results when comparing all 5 levels from both triage tools, showed ESI which is based on resources, triaged most patients at priority level 3, while MFTI triaged most patients at
priority level 4. MFTI places patients in normal
uncomplicated labour at priority level 4, while in ESI it is a 3 due to resources required for delivery. As the fetus is not taken into consideration in ESI, decreased fetal
movement and fetal heart rate decelerations were not assessed and therefore potentially dangerous situations for the fetus were missed.

Conclusion
Based on statistical analysis it has been inferred that the ESI is over triaging normal labour and normal complaints of pregnancy but is under triaging more
complicated cases in pregnancy. Therefore, in an obstetrics setting, MFTI would be a more appropriate triage tool at identifying and prioritising acutely unwell pregnant women.
Original languageEnglish
Publication statusPublished - 1 Feb 2019
EventUAE Innovation Month - , United Arab Emirates
Duration: 1 Feb 201928 Feb 2019
https://www.uaeinnovates.gov.ae/ (Event website.)

Exhibition

ExhibitionUAE Innovation Month
CountryUnited Arab Emirates
Period1/02/1928/02/19
Internet address

Fingerprint

Triage
Pregnant Women
Emergencies
Mothers
Safety
Fetus
Pregnancy
Fetal Heart Rate
Deceleration
Obstetrics

Cite this

Nisbet, L., Walker, A., Cottam, J., Thomas, M. B. K., Williams, L., Pappan, S., ... Mathew, S. (2019). Maternal fetal triage index vs. emergency severity index: increasing clinical safety by identifying and prioritising acutely unwell pregnant women. Poster session presented at UAE Innovation Month, United Arab Emirates.
Nisbet, Lynsey ; Walker, Alan ; Cottam, Jessica ; Thomas, Mariam Beena K. ; Williams, Lauren ; Pappan, Sinu ; Anjali, J.H. ; Sujith, Blessy ; Lohana, Sharmila ; Mathew, Sherin. / Maternal fetal triage index vs. emergency severity index : increasing clinical safety by identifying and prioritising acutely unwell pregnant women. Poster session presented at UAE Innovation Month, United Arab Emirates.
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abstract = "MethodA blind study comparing two triage tools.Sampling100 women were recruited via convenience and quota sampling.ResultsStatistical analysis was carried out using both the Freidman test and paired t-test. Initial results when comparing all 5 levels from both triage tools, showed ESI which is based on resources, triaged most patients at priority level 3, while MFTI triaged most patients atpriority level 4. MFTI places patients in normaluncomplicated labour at priority level 4, while in ESI it is a 3 due to resources required for delivery. As the fetus is not taken into consideration in ESI, decreased fetalmovement and fetal heart rate decelerations were not assessed and therefore potentially dangerous situations for the fetus were missed.ConclusionBased on statistical analysis it has been inferred that the ESI is over triaging normal labour and normal complaints of pregnancy but is under triaging morecomplicated cases in pregnancy. Therefore, in an obstetrics setting, MFTI would be a more appropriate triage tool at identifying and prioritising acutely unwell pregnant women.",
author = "Lynsey Nisbet and Alan Walker and Jessica Cottam and Thomas, {Mariam Beena K.} and Lauren Williams and Sinu Pappan and J.H. Anjali and Blessy Sujith and Sharmila Lohana and Sherin Mathew",
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Nisbet, L, Walker, A, Cottam, J, Thomas, MBK, Williams, L, Pappan, S, Anjali, JH, Sujith, B, Lohana, S & Mathew, S 2019, 'Maternal fetal triage index vs. emergency severity index: increasing clinical safety by identifying and prioritising acutely unwell pregnant women' UAE Innovation Month, United Arab Emirates, 1/02/19 - 28/02/19, .

Maternal fetal triage index vs. emergency severity index : increasing clinical safety by identifying and prioritising acutely unwell pregnant women. / Nisbet, Lynsey; Walker, Alan; Cottam, Jessica; Thomas, Mariam Beena K.; Williams, Lauren; Pappan, Sinu; Anjali, J.H.; Sujith, Blessy; Lohana, Sharmila; Mathew, Sherin.

2019. Poster session presented at UAE Innovation Month, United Arab Emirates.

Research output: Contribution to conferencePoster

TY - CONF

T1 - Maternal fetal triage index vs. emergency severity index

T2 - increasing clinical safety by identifying and prioritising acutely unwell pregnant women

AU - Nisbet, Lynsey

AU - Walker, Alan

AU - Cottam, Jessica

AU - Thomas, Mariam Beena K.

AU - Williams, Lauren

AU - Pappan, Sinu

AU - Anjali, J.H.

AU - Sujith, Blessy

AU - Lohana, Sharmila

AU - Mathew, Sherin

PY - 2019/2/1

Y1 - 2019/2/1

N2 - MethodA blind study comparing two triage tools.Sampling100 women were recruited via convenience and quota sampling.ResultsStatistical analysis was carried out using both the Freidman test and paired t-test. Initial results when comparing all 5 levels from both triage tools, showed ESI which is based on resources, triaged most patients at priority level 3, while MFTI triaged most patients atpriority level 4. MFTI places patients in normaluncomplicated labour at priority level 4, while in ESI it is a 3 due to resources required for delivery. As the fetus is not taken into consideration in ESI, decreased fetalmovement and fetal heart rate decelerations were not assessed and therefore potentially dangerous situations for the fetus were missed.ConclusionBased on statistical analysis it has been inferred that the ESI is over triaging normal labour and normal complaints of pregnancy but is under triaging morecomplicated cases in pregnancy. Therefore, in an obstetrics setting, MFTI would be a more appropriate triage tool at identifying and prioritising acutely unwell pregnant women.

AB - MethodA blind study comparing two triage tools.Sampling100 women were recruited via convenience and quota sampling.ResultsStatistical analysis was carried out using both the Freidman test and paired t-test. Initial results when comparing all 5 levels from both triage tools, showed ESI which is based on resources, triaged most patients at priority level 3, while MFTI triaged most patients atpriority level 4. MFTI places patients in normaluncomplicated labour at priority level 4, while in ESI it is a 3 due to resources required for delivery. As the fetus is not taken into consideration in ESI, decreased fetalmovement and fetal heart rate decelerations were not assessed and therefore potentially dangerous situations for the fetus were missed.ConclusionBased on statistical analysis it has been inferred that the ESI is over triaging normal labour and normal complaints of pregnancy but is under triaging morecomplicated cases in pregnancy. Therefore, in an obstetrics setting, MFTI would be a more appropriate triage tool at identifying and prioritising acutely unwell pregnant women.

M3 - Poster

ER -

Nisbet L, Walker A, Cottam J, Thomas MBK, Williams L, Pappan S et al. Maternal fetal triage index vs. emergency severity index: increasing clinical safety by identifying and prioritising acutely unwell pregnant women. 2019. Poster session presented at UAE Innovation Month, United Arab Emirates.