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

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 conference › Poster

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 language	English
Publication status	Published - 1 Feb 2019
Event	UAE Innovation Month - , United Arab Emirates Duration: 1 Feb 2019 → 28 Feb 2019 https://www.uaeinnovates.gov.ae/ (Event website.)

Exhibition

Exhibition	UAE Innovation Month
Country/Territory	United Arab Emirates
Period	1/02/19 → 28/02/19
Internet address	https://www.uaeinnovates.gov.ae/ (Event website.)

Cite this

@conference{489d9177bc8e4d9f9fbdacb8155c2ba3,

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

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. ",

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",

year = "2019",

month = feb,

day = "1",

language = "English",

note = "UAE Innovation Month ; Conference date: 01-02-2019 Through 28-02-2019",

url = "https://www.uaeinnovates.gov.ae/",

}

TY - CONF

T1 - Maternal fetal triage index vs. emergency severity index

T2 - UAE Innovation Month

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 - 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.

AB - 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.

M3 - Poster

Y2 - 1 February 2019 through 28 February 2019

ER -

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

Abstract

Exhibition

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