TY  - GEN
N2  - Disaster preparedness involves the anticipation of an event and integration of appropriate protocols that will likely mitigate the impact of a disaster. An evacuation triage tool for perinatal inpatients, a vulnerable population, that has been designed and integrated into an urban multi hospital teaching consortium, has not been evaluated for validity and reliability outside of this context. Multiple studies have focused on triaging inpatients for admission to care, only the OBTRAIN highlights triaging for evacuation in the perinatal inpatient setting. Inter-rater agreement of the OB-TRAIN instrument was assessed during a quality improvement project at a rural community hospital's labor-delivery-recovery-postpartum 7-bed unit with an overall 73% accordance over an 84-day evaluation. Three cycles implementing the plan-do-study-act framework of quality improvement measured the internal consistency by Cronbach's alpha with a result of 0.73.  Forecasting of future transport needs could be assessed relying on data from the 84-day project: 16% no hospital census, 32% car discharge, 37% low acuity, 7% moderate acuity, 6% high acuity, and <1% shelter in place. During a disaster, having access to a tool to assess resource needs rapidly, and with reliability between raters, is essential for patient safety when decision making in a crisis management situation.
DO  - 10.6083/nk322f04j
DO  - DOI
AB  - Disaster preparedness involves the anticipation of an event and integration of appropriate protocols that will likely mitigate the impact of a disaster. An evacuation triage tool for perinatal inpatients, a vulnerable population, that has been designed and integrated into an urban multi hospital teaching consortium, has not been evaluated for validity and reliability outside of this context. Multiple studies have focused on triaging inpatients for admission to care, only the OBTRAIN highlights triaging for evacuation in the perinatal inpatient setting. Inter-rater agreement of the OB-TRAIN instrument was assessed during a quality improvement project at a rural community hospital's labor-delivery-recovery-postpartum 7-bed unit with an overall 73% accordance over an 84-day evaluation. Three cycles implementing the plan-do-study-act framework of quality improvement measured the internal consistency by Cronbach's alpha with a result of 0.73.  Forecasting of future transport needs could be assessed relying on data from the 84-day project: 16% no hospital census, 32% car discharge, 37% low acuity, 7% moderate acuity, 6% high acuity, and <1% shelter in place. During a disaster, having access to a tool to assess resource needs rapidly, and with reliability between raters, is essential for patient safety when decision making in a crisis management situation.
AD  - Oregon Health and Science University
T1  - Implementation of a disaster triage assessment instrument to facilitate  evacuation of hospitalized perinatal patients:  a quality improvement project
ED  - Emeis, Cathy
ED  - Chair
DA  - 2020
AU  - Reddy, Patricia M.
L1  - https://digitalcollections.ohsu.edu/record/8066/files/Reddy.Patricia.2020.pdf
PB  - Oregon Health and Science University
PY  - 2020
ID  - 8066
L4  - https://digitalcollections.ohsu.edu/record/8066/files/Reddy.Patricia.2020.pdf
KW  - Perinatal Care
KW  - Triage
KW  - Quality Improvement
KW  - Disaster Planning
KW  - Vulnerable Populations
KW  - Hospitals, Community
TI  - Implementation of a disaster triage assessment instrument to facilitate  evacuation of hospitalized perinatal patients:  a quality improvement project
Y1  - 2020
L2  - https://digitalcollections.ohsu.edu/record/8066/files/Reddy.Patricia.2020.pdf
LK  - https://digitalcollections.ohsu.edu/record/8066/files/Reddy.Patricia.2020.pdf
UR  - https://digitalcollections.ohsu.edu/record/8066/files/Reddy.Patricia.2020.pdf
ER  -