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Enhancing Emergency Obstetric Care Through Implementation of a Triage Acuity Score: A Quality Improvement Initiative
Sara Price1, Jessica Anderson, Cynthia Aubol
1Author Affiliations : University Nurse Midwives/OB Emergency Department, University of Colorado College of Nursing, Aurora, Colorado (Dr Price); Midwifery & Women's Health Services, University of Colorado College of Nursing, Aurora, Colorado (Dr Anderson); Labor & Delivery and Obstetric Emergency Department, University of Colorado Hospital, Aurora, Colorado (Ms Aubol, Ms Thomas); and Director, University of Colorado College of Nursing, Aurora, Colorado (Dr Harpin).
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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