Objective To enhance the level of alarm management for electronic fetal monitoring (EFM） in pregnant women in the obstetrics department and to reduce ineffective nursing care.Methods A convenience sample of 476 pregnant women who hospitalized for fetal heart rate monitoring were divided into two groups chronologically:247 cases before quality improvement (QI) and 229 after QI.The QI interventions included improving the EFM management regulations, establishing a standardized response process for EFM alarm, and providing hierarchical training on EFM alarms. The management effect was compared before and after the QI intervention.Results There were significant increases in the effective alarm rate and high-priority alarm rate of EFM after the QI intervention (both P＜0.05）.In addition, the alarm fatigue score of nurses significantly decreased, and patient safety competence of nurses with low seniority significantly improved (both P＜0.05）.Conclusion QI practice in managing EFM alarms has achieved the expected goals, benefiting both nurses and patients.