TY  - GEN
N2  - Current variation in the care during triage of obstetric patients regarding coping in latent labor can impact the timing of admission for these patients. It has been shown that admission in active labor rather than latent labor is associated with improved obstetric outcomes. An understanding of current triage care practices at a rural community hospital's family birth center was obtained through the use of the Ishikawa cause-and-effect tool.  Opportunities for improvement in the processes of care in labor triage were identified, and a latent labor triage intervention was developed to address the lack of educational tools and improve patient coping skills. A series of rapid process improvement cycles over a period of three months was conducted. Outcomes measured focused on the use of the intervention consistently with all eligible patients. By the end of the quality improvement cycles, the intervention was being implemented with a majority (68%) of the patients who met criteria for the triage intervention and nursing staff reported that the interventions facilitated their ability to provide quality care during the latent labor triage project. This project could be replicated easily on other units and the triage tools generated in the project are still in use even after completion of the project.
DO  - 10.6083/m40v8c92
DO  - DOI
AB  - Current variation in the care during triage of obstetric patients regarding coping in latent labor can impact the timing of admission for these patients. It has been shown that admission in active labor rather than latent labor is associated with improved obstetric outcomes. An understanding of current triage care practices at a rural community hospital's family birth center was obtained through the use of the Ishikawa cause-and-effect tool.  Opportunities for improvement in the processes of care in labor triage were identified, and a latent labor triage intervention was developed to address the lack of educational tools and improve patient coping skills. A series of rapid process improvement cycles over a period of three months was conducted. Outcomes measured focused on the use of the intervention consistently with all eligible patients. By the end of the quality improvement cycles, the intervention was being implemented with a majority (68%) of the patients who met criteria for the triage intervention and nursing staff reported that the interventions facilitated their ability to provide quality care during the latent labor triage project. This project could be replicated easily on other units and the triage tools generated in the project are still in use even after completion of the project.
AD  - Oregon Health and Science University
T1  - Understanding and identifying opportunities for improvement in the latent labor obstetric triage process
DA  - 2017
AU  - Swain, Lori L.
L1  - https://digitalcollections.ohsu.edu/record/7597/files/Swain.Lori.2017.pdf
PB  - Oregon Health and Science University
PY  - 2017
ID  - 7597
L4  - https://digitalcollections.ohsu.edu/record/7597/files/Swain.Lori.2017.pdf
KW  - Prenatal Education
KW  - Pregnancy
KW  - Labor Onset
KW  - Parturition
KW  - Labor Stage, First
KW  - Labor, Obstetric
KW  - labor
TI  - Understanding and identifying opportunities for improvement in the latent labor obstetric triage process
Y1  - 2017
L2  - https://digitalcollections.ohsu.edu/record/7597/files/Swain.Lori.2017.pdf
LK  - https://digitalcollections.ohsu.edu/record/7597/files/Swain.Lori.2017.pdf
UR  - https://digitalcollections.ohsu.edu/record/7597/files/Swain.Lori.2017.pdf
ER  -