Scribd
Upload
10 views1 page

Poster 5

The document discusses a project aimed at improving maternal and neonatal care by ensuring that 100% of women presenting to the maternity assessment center as high risk are seen by a midwife within 20 minutes. It provides background on the need for standardized triage systems and discusses initiatives taken which include process mapping, use of a symptom specific triage system, and tests of change. The outcomes included improved multidisciplinary communication and some services being provided in different locations.

Uploaded by

rezimorales
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
10 views1 page

Poster 5

The document discusses a project aimed at improving maternal and neonatal care by ensuring that 100% of women presenting to the maternity assessment center as high risk are seen by a midwife within 20 minutes. It provides background on the need for standardized triage systems and discusses initiatives taken which include process mapping, use of a symptom specific triage system, and tests of change. The outcomes included improved multidisciplinary communication and some services being provided in different locations.

Uploaded by

rezimorales
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

National maternal and neonatal health safety collaborative

Frimley Health
NHS Foundation Trust
Improving the quality and safety of maternal
& neonatal care through clinical excellence
Debbie Simkin, Rhi Grindle, Louisa Tucker, Nisrin Jahah & Frank Garcia - MAC team - Wexham Park Hospital

Project title and aims statement


100% of women presenting to MAC as a RED or AMBER traffic light categorisation to be seen by a
midwife within 20 minutes of arrival, by December 2019.

Aim of the project


The early recognition and management of deterioration of pregnant women can be positively
affected by the care they receive when attending the emergency portal within maternity services –
namely Maternity Assessment Centre (Wexham Park Hospital).

By delivering the level and quality of care appropriate to the woman’s clinical need through a
resourceful and effective triage system, we will be contributing towards the national aim to reduce
the rate of stillbirths, neonatal death and brain injuries occurring during or soon after birth by 20%
by 2020 (NHS England 2016).

Background
• The need for a systematic approach has been highlighted by NICE; a delay of 30 minutes or
more before triaging is defined as a RED FLAG.
• No standardised triage system currently in place within maternity care, despite Confidential
Enquiries recognising the need for such systems.
• Excessive waiting times are a common theme for complaints; aim to provide a high quality
healthcare experience for all women and their families.
• Poor neonatal outcomes are shown to have a degree of involvement with maternity
emergency portal.
• Only 40% of target group seen within target at start of project.

Initiatives
• Multi-disciplinary team process
mapping day.
• Introduction to PDSA cycles for tests
of change.
• Revisit reasons for attendance at triage
and consider whether these patients
would be more appropriately seen in a
different setting.
• Life QI system for data analysis.
• Training in use of BSOTS system
(Birmingham Symptom Specific Obstetric Tests of change
Triage System) to ensure a uniform • MatNeo learning board.
assessment and clinical prioritisation of the • Colour coded stickers applied to notes to
common conditions that women present denote traffic light category.
with in maternity triage. • ‘At a Glance’ board using traffic light
magnets to confirm risk status..
• Low risk USS reviewed outside of MAC.
• Triage and Day Assessment Unit to
be separated.

Outcome and impact


• Multidisciplinary communication was
improved with ‘At a Glance’ board.
• Reduced staffing levels has a negative
impact on workflow through
the department.
• Evolvement of area as an emergency
portal within maternity, aided by some
care episodes being carried out in
other departments.

Learning
• Not all change ideas will demonstrate an improvement through PDSA cycles; this does not mean
however that these ideas should be discarded if felt to be an essential part of the pathway.
• Development of collaborative team working.
• Postnatal checks now being carried out on postnatal ward for mothers whose babies are in
Neonatal Unit.
• Some USS reviews undertaken in US department.
• Blood pressure clinic set up for routine attenders.
• LSCS clerking moved across to Antenatal Clinic.

MI: WP_19/0011

You might also like