Evaluation of normalization after implementation of the digital Dutch Obstetric Telephone Triage System:Mixed methods design with questionnaire and focus group discussion

BACKGROUND: The Dutch Obstetric Telephone Triage System (DOTTS) was developed to improve the quality of acute obstetric care. To achieve optimal effect, DOTTS should be adopted in the daily care process by triage staff. OBJECTIVE: The aim of this study was primarily to evaluate the degree of implementation (i.e., normalization) of the DOTTS and secondarily to evaluate which lessons can be learned from its current implementation in Dutch hospitals. METHODS: An evaluation study with a mixed methods design was performed. All triage staff in nine Dutch hospitals who implemented DOTTS before 1 Sept... Mehr ...