Smart Triage: Clinical Data - QI

This data is from the Smart Triage + QI: A digital triaging platform to improve quality of care for critically ill children study. Data collected for this study occurred from December 2021 to July 2023. Objective(s): This is a pre-post intervention study involving pediatric patients presenting to the study hospitals in seek of medical care for an acute illness. The purpose of this project was to implement Smart Triage + QI to improve the quality of care at four health care facilities in Uganda. The primary objective of the program is to enable healthcare workers to recognize the most urgent children more rapidly and allocate existing resources more efficiently. The second objective is to use the proactive processes of QI to identify and examine opportunities for ongoing improvement to strengthen the health system. The study involved two phases: (I) Baseline Period, and (II) Intervention Period. Phase II also involved a community sub-study at 1 site to identify key messaging for an appropriate methods for disseminating educational materials for VHTs and caregivers on Smart Triage. Data Description: Data was collected at the time of triage by trained study nurses using a custom-built mobile application. All data entered into the mobile application was stored an encrypted database. Data was uploaded directly from the mobile device to a Research Electronic Data Capture (REDCap) database hosted at the BC Children’s Hospital Research Institute (Vancouver, Canada). Outcomes were obtained from facility records or telephone follow-up at 7-10 days and the data was collected electronically. Starting in June 2022, outcomes were also collected via automated follow-up (SMS/WhatsApp) messages at one site. Time-specific outcomes were tracked using an RFID tagging system with study personnel as backup. Limitations: There is missing data and some variables were not collected at all sites. Ethics Declaration: This study was approved by the Makerere University Higher Degrees research and Ethics Committee (SPH-2021-41), the Uganda National Institute of Science and Technology (HS 1745ES).
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本数据集来自「Smart Triage + QI：用于提升重症儿童护理质量的数字化分诊平台」研究。本研究的数据采集周期为2021年12月至2023年7月。
研究目标：本研究为干预前后对照研究，纳入因急性疾病前往合作医院就诊的儿科患者作为研究对象。本项目旨在乌干达四家医疗机构部署Smart Triage + QI系统，以提升临床护理质量。该项目的首要目标是帮助医护人员更快速识别病情最危急的儿童，并更高效地调配现有医疗资源；其次是借助质量改进（Quality Improvement, QI）的主动流程，识别并审视持续改进的契机，以强化区域医疗体系。
本研究分为两个阶段：（I）基线阶段，（II）干预阶段。其中干预阶段还在1个站点开展了社区子研究，旨在为制定面向社区健康志愿者（Volunteer Health Teams, VHTs）及儿童照护者的Smart Triage宣教材料的适宜传播方案确定核心信息。
数据采集说明：数据由经过专项培训的研究护士在分诊环节使用定制化移动应用程序采集。所有录入移动应用的数据均存储于加密数据库中，并直接从移动设备上传至托管于加拿大温哥华不列颠哥伦比亚儿童医院研究所的研究电子数据采集系统（Research Electronic Data Capture, REDCap）。结局数据通过医疗机构病历记录或7-10天电话随访以电子化方式收集；自2022年6月起，其中1个站点还通过自动化随访短信/WhatsApp消息采集结局数据。研究采用射频识别（Radio Frequency Identification, RFID）标签系统追踪特定时间节点的结局数据，并配备研究人员作为后备保障。
研究局限性：存在数据缺失情况，且部分变量未在所有研究站点完成采集。
伦理声明：本研究已获得马凯雷大学高等学位研究与伦理委员会（SPH-2021-41）以及乌干达国家科学技术研究院（HS 1745ES）的伦理审查批准。
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