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Emergency Undocking in Robotic Surgery: A Simulation Curriculum

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Published on: May 20, 2018

Obstetric simulation as a risk control strategy: course design and evaluation.

Roxane Gardner¹, Toni B Walzer, Robert Simon

¹Department of Obstetrics and Gynecology, Harvard Medical School, Brigham and Women's Hospital, Boston, MA, USA. rgardener1@partners.org

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare

|December 18, 2008

Summary

Obstetric simulation training improves teamwork and communication, reducing medical errors. This crisis resource management (CRM) course is highly rated by clinicians and recommended for ongoing practice.

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Area of Science:

Medical Simulation
Patient Safety
Obstetrics

Background:

Patient safety initiatives are increasingly implemented in obstetrics to reduce medical errors.
Simulation emerged as a successful anesthesia risk control strategy.
Simulation-based team training was promoted for obstetrical providers.

Purpose of the Study:

To describe the development, implementation, and evaluation of an obstetric simulation-based team training course.
To ground the training in Crisis Resource Management (CRM) principles.
To assess the long-term impact of the training on clinical practice and teamwork.

Main Methods:

Systematic course design and development in three phases.
Implementation of the simulation-based team training course.
Post-training evaluation including 1-year follow-up with self-assessment questionnaires.

Main Results:

The course received high ratings from participants immediately after and over a year post-training.
Most participants reported improved teamwork and communication in critical clinical events.
86% found CRM principles useful, and 59% recommended repeating the course every two years.

Conclusions:

A simulation-based team training course for obstetric clinicians was successfully developed.
The course is a key component of a risk management program offering malpractice premium reductions.
Simulation-based CRM training effectively mitigates adverse perinatal events by enhancing teamwork and communication.