A retrospective evaluation of the impact of a dedicated obstetric and neonatal transport service on transport times within an urban setting

 

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dc.contributor.author De Vries, Shaheem en_ZA
dc.contributor.author Wallis, Lee en_ZA
dc.contributor.author Maritz, David en_ZA
dc.date.accessioned 2015-10-30T09:29:33Z
dc.date.available 2015-10-30T09:29:33Z
dc.date.issued 2011 en_ZA
dc.identifier.citation De Vries, S., Wallis, L. A., & Maritz, D. (2011). A retrospective evaluation of the impact of a dedicated obstetric and neonatal transport service on transport times within an urban setting. International journal of emergency medicine, 4(1), 1-6. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/14505
dc.identifier.uri http://dx.doi.org/10.1186/1865-1380-4-28
dc.description.abstract OBJECTIVE:To determine whether the establishment of a dedicated obstetric and neonatal flying squad resulted in improved performance within the setting of a major metropolitan area.DESIGN AND SETTING:The Cape Town metropolitan service of the Emergency Medical Services was selected for a retrospective review of the transit times for the newly implemented Flying Squad programme. Data were imported from the Computer Aided Dispatch programme. Dispatch, Response, Mean Transit and Total Pre-hospital times relating to the obstetric and neonatal incidents was analysed for 2005 and 2008. RESULTS: There was a significant improvement between 2005 and 2008 in all incidents evaluated. Flying Squad dispatch performance improved from 11.7% to 46.6% of all incidents dispatched within 4 min (p < 0.0001). Response time performance at the 15-min threshold did not demonstrate a statistically significant improvement (p = 0.4), although the improvement in the 30-min performance category was statistically significant in both maternity and neonatal incidents. Maternity incidents displayed the greatest improvement with the 30-min performance increasing from 30.3% to 72.9%. The analysis of the mean transit times demonstrated that neonatal transfers displayed the longest status time in all but one of the categories. Even so, the introduction of the Flying Squad programme resulted in a reduction in a total pre-hospital time from 177 to 128 min. CONCLUSION: The introduction of the Flying Squad programme has resulted in significant improvement in the transit times of both neonatal and obstetric patients. In spite of the severe resource constraints facing developing nations, the model employed offers significant gains. en_ZA
dc.language.iso eng en_ZA
dc.publisher Springer en_ZA
dc.rights This is an Open Access article distributed under the terms of the Creative Commons Attribution License en_ZA
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en_ZA
dc.source International Journal of Emergency Medicine en_ZA
dc.source.uri http://www.intjem.com/ en_ZA
dc.subject.other Emergency Medicine en_ZA
dc.subject.other Transport services en_ZA
dc.title A retrospective evaluation of the impact of a dedicated obstetric and neonatal transport service on transport times within an urban setting en_ZA
dc.type Journal Article en_ZA
dc.rights.holder 2011 De Vries et al; licensee Springer. en_ZA
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Division of Emergency Medicine en_ZA
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This is an Open Access article distributed under the terms of the Creative Commons Attribution License Except where otherwise noted, this item's license is described as This is an Open Access article distributed under the terms of the Creative Commons Attribution License