BSOTS: Birmingham Symptom-specific Obstetric Triage System скачать в хорошем качестве

BSOTS: Birmingham Symptom-specific Obstetric Triage System

BSOTS is a maternity triage system, designed by midwives and obstetricians specifically for maternity units. It aims to standardise the triage process and ensure women are seen according to clinical need. Maternity triage is the emergency portal for women and birthing people attending with unscheduled, urgent concerns related to pregnancy or following birth. Reasons to attend vary, but may include feeling baby moving less, being in labour, vaginal bleeding, or having a seizure. BSOTS includes a brief, standardised assessment of the woman or birthing person within 15 minutes of arrival in triage by a midwife, to identify the reason for their attendance, perform a set of clinical observations, and assess the wellbeing of the baby. A symptom-specific algorithm is used to identify the person’s level of clinical urgency (red, orange, yellow or green), which guides their immediate ongoing care and timings of medical review. This system ensures pregnant women and birthing people attending maternity units for unscheduled, urgent concerns are assessed and treated based on clinical need, ensuring timely intervention for those who need it most. In addition to improving safety, BSOTS enhances communication within clinical teams by providing a shared language. Standardised assessments and excellent inter-rater reliability means variation in clinical assessments between midwives is minimal and documentation is consistent. Due to the unpredictable nature of maternity triage, BSOTS enables units to manage care more effectively when there is limited space, and facilitates clear escalation when workloads become too heavy. This structured approach has transformed maternity triage departments across the UK and worldwide, enhancing the safety of both mothers and babies. For more information, see the BSOTS website at https://future.nhs.uk/BMHSymptomObste... Twitter:   / maternitytriage   BSOTS was co-developed by researchers from University of Birmingham (led by Professor Sara Kenyon) and clinicians from Birmingham Women’s and Children’s NHS Foundation Trust (led by Dr Nina Johns), and funded by the NIHR Applied Research Collaboration (ARC) West Midlands (a project that partners higher education institutions with local NHS trusts).