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Article Abstract
Background: Maternal morbidity and mortality in the U.S. remain a significant concern, particularly in obstetric emergency settings where inefficient triage delays care and contributes to adverse outcomes.
Local Problem: The obstetric emergency department (OBED) faced challenges in aligning triage processes with acuity-based care, leading to delays in provider response times.
Methods: A quality improvement initiative was conducted. Pre/post-implementation data were collected to evaluate the alignment of maternal-fetal triage index (MFTI) scores with provider-at-bedside (PAB) times.
Interventions: The MFTI system was implemented to prioritize patients based on acuity, aligning provider response times with MFTI-advised targets.
Results: Alignment between MFTI scores and PAB times improved from 40% to 90%. Documentation of MFTI scores and PAB times increased, while total visit times remained stable. Overall, survey data suggested providers were satisfied with the MFTI system.
Conclusions: The MFTI system enhanced triage efficiency and care quality in the OBED without extending total visit times, supporting acuity-based triage in obstetric emergencies.
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| http://dx.doi.org/10.1097/NCQ.0000000000000867 | DOI Listing |
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