Date of Graduation

Spring 5-19-2016

Document Type

Project

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

First Advisor

T Gallo

Second Advisor

Elena Capella

Abstract

The objective of the obstetric triage improvement project is to decrease the average length of stay for perinatal patients presenting to the obstetric triage. The setting is a university hospital in a large urban city. The population includes pregnant patients with obstetric complaints presenting to triage for further evaluation. Methods used include a root cause analysis, process mapping, lean transformation methodology, and standardization of workflow. The results of the project include reducing the average length of stay in obstetric triage from a baseline of 152 minutes to 120.58 minutes, which represents a 21% decrease. The creation of standard workflows, the addition of dedicated triage staff, and improved communication methods will continue to improve the triage process. Indirect results include increased throughput, increased patient satisfaction, reduced treatment wait times, and increased employee satisfaction. Future steps include the implementation of a maternal fetal triage index, and the creation of nursing-driven protocols and order sets.

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