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Abstract

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.

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