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.authorDe Vries, Shaheemen_ZA
dc.contributor.authorWallis, Leeen_ZA
dc.contributor.authorMaritz, Daviden_ZA
dc.date.accessioned2015-10-30T09:29:33Z
dc.date.available2015-10-30T09:29:33Z
dc.date.issued2011en_ZA
dc.description.abstractOBJECTIVE: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.identifier.apacitationDe Vries, S., Wallis, L., & Maritz, D. (2011). A retrospective evaluation of the impact of a dedicated obstetric and neonatal transport service on transport times within an urban setting. <i>International Journal of Emergency Medicine</i>, http://hdl.handle.net/11427/14505en_ZA
dc.identifier.chicagocitationDe Vries, Shaheem, Lee Wallis, and David Maritz "A retrospective evaluation of the impact of a dedicated obstetric and neonatal transport service on transport times within an urban setting." <i>International Journal of Emergency Medicine</i> (2011) http://hdl.handle.net/11427/14505en_ZA
dc.identifier.citationDe 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.ris TY - Journal Article AU - De Vries, Shaheem AU - Wallis, Lee AU - Maritz, David AB - 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. DA - 2011 DB - OpenUCT DO - 10.1186/1865-1380-4-28 DP - University of Cape Town J1 - International Journal of Emergency Medicine LK - https://open.uct.ac.za PB - University of Cape Town PY - 2011 T1 - A retrospective evaluation of the impact of a dedicated obstetric and neonatal transport service on transport times within an urban setting TI - A retrospective evaluation of the impact of a dedicated obstetric and neonatal transport service on transport times within an urban setting UR - http://hdl.handle.net/11427/14505 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/14505
dc.identifier.urihttp://dx.doi.org/10.1186/1865-1380-4-28
dc.identifier.vancouvercitationDe Vries S, Wallis L, Maritz D. 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. 2011; http://hdl.handle.net/11427/14505.en_ZA
dc.language.isoengen_ZA
dc.publisherSpringeren_ZA
dc.publisher.departmentDivision of Emergency Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.holder2011 De Vries et al; licensee Springer.en_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_ZA
dc.sourceInternational Journal of Emergency Medicineen_ZA
dc.source.urihttp://www.intjem.com/en_ZA
dc.subject.otherEmergency Medicineen_ZA
dc.subject.otherTransport servicesen_ZA
dc.titleA retrospective evaluation of the impact of a dedicated obstetric and neonatal transport service on transport times within an urban settingen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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