To ensure our patients are seen in a timely manner and align with the latest evidence-based practices, implementing the Maternal Fetal Triage Index (MFTI) is a crucial step in enhancing patient safety and optimizing obstetric care. In May 2023, we began our MFTI journey by educating staff on this evidence-based framework, highlighting its role in standardizing the assessment of maternal and fetal conditions upon admission. The core triage team was instrumental in leading and facilitating this education.
The MFTI framework prioritizes patients using exam flags, with Priority 1 marked in red and ascending numerically through 2, 3, 4, and 5. These visual cues streamline the triage process, ensuring patients are assessed and treated according to their clinical needs. To support the transition, experienced triage nurses and core triage team members provide guidance and oversight for 60 to 90 days following the go-live date.
Successful implementation of the MFTI requires collaboration among all team members, including RNs, midwives, physicians, and unit assistants, to ensure consistent application of the tool. Key strategies include establishing clear protocols, conducting simulation-based training, and integrating the MFTI framework into electronic health records to improve usability and compliance.
Continuous monitoring of outcomes, along with periodic reviews and feedback, is essential to refine the process. By prioritizing timely identification of high-risk conditions, the MFTI improves resource allocation and ensures patients receive the appropriate level of care promptly. This initiative underscores our commitment to advancing patient safety and delivering high-quality obstetric care.
At Modesto Labor and Delivery, we have successfully embedded the MFTI process into our practice. When we first began this journey, only 0.24% of our MFTI scores were recorded. Recent data reveals significant progress, with 80.85% of our scores now being documented, demonstrating our dedication to continuous improvement and excellence in patient care.
