Obstetric Simulation Training and Teamwork
| العنوان: | Obstetric Simulation Training and Teamwork |
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| المؤلفون: | Joy A, Greer, Monica A, Lutgendorf, Christopher S, Ennen, Lauren, Van Petten, Adrian, Modzik, Dominick, Salas, Jessica, Fish, Reginald, Middlebrooks, Carmen N, Spalding, Donald R, Delorey |
| المصدر: | Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare. 18:32-41 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Epidemiology, Modeling and Simulation, Medicine (miscellaneous), Education |
| الوصف: | The Obstetric Simulation Training and Teamwork (OB-STaT) curriculum was an in situ interprofessional program to provide standardized postpartum hemorrhage (PPH) simulation training throughout a health system to decrease PPH morbidity. In this study portion, investigators hypothesized that OB-STaT would increase: (a) team member knowledge in diagnosis and management of PPH, (b) teamwork, (c) adherence to established PPH protocols, and (d) patient satisfaction.The OB-STaT was implemented at 8 US Navy hospitals between February 2018 and November 2019. Participant PPH treatment and maternal/neonatal resuscitation pretraining/posttraining knowledge was assessed via an 11-item test, whereas teamwork and standardized patient assessment were rated using validated Likert-type scales: the 15-item Clinical Teamwork Scale and 3-item Patient Perception Score, with item ranges of 0 to 10 and 0 to 5, respectively. Local PPH protocol adherence was assessed using role-specific checklists, with a potential maximum of 14 points (anesthesia/nursing) or 22 points (obstetrics).Fifty-four interprofessional teams participated. Obstetricians (trainees and attendings) demonstrated significantly improved knowledge test scores (8.33 ± 1.6 vs. 8.66 ± 1.5, P0.01). Between the 2 scenarios, overall mean Clinical Teamwork Scale scores improved significantly for all interprofessional teams (5.82 ± 2.0 vs. 7.25 ± 1.9, P0.01). Anesthesia, nursing, and obstetric subteams demonstrated significant increases in protocol adherence as measured by critical action scores (12.28 ± 1.7 vs. 13.56 ± 1.0, 12.43 ± 1.6 vs. 13.14 ± 1.3, and 18.14 ± 2.7 vs. 19.56 ± 2.1 respectively, all P0.02). Although overall standardized patient satisfaction did not significantly improve, scores for feeling well informed did (3.36 ± 1.0 vs. 3.76 ± 0.8, P0.01).The OB-STaT curriculum modestly improved participants' teamwork, communication, and protocol adherence during simulated PPH scenarios; OB-STaT may decrease PPH morbidity. |
| تدمد: | 1559-713X 1559-2332 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3dd8f74034b92a7a44aa41d82476d71f https://doi.org/10.1097/sih.0000000000000641 |
| رقم الأكسشن: | edsair.doi.dedup.....3dd8f74034b92a7a44aa41d82476d71f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1559713X 15592332 |
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