Simulation-based crisis team training for multidisciplinary obstetric providers.

Area of Science:

• Medical Education
• Patient Safety
• Team Training

Background:

• Team training programs show promise in improving healthcare knowledge, attitudes, and behaviors.
• Simulation-based training is a valuable tool for enhancing clinical skills and team dynamics.
• Effective team skills are crucial for managing obstetric emergencies and improving patient outcomes.

Purpose of the Study:

• To evaluate the Obstetric Crisis Team Training Program (OBCTT) using a multilevel team theoretical model.
• To assess the impact of OBCTT on knowledge, attitudes, confidence, competence, and performance in obstetric emergencies.
• To determine the effectiveness of simulation-based team training in improving individual and team performance.

Main Methods:

• A pretest-posttest study design involving 22 perinatal healthcare professionals.
• Participants completed an online module followed by a 4-hour training session with simulated crisis scenarios.
• Video-recorded simulations with debriefings, self-report surveys, and objective task completion scores were used for evaluation.

Main Results:

• Significant improvements were observed in attitudes toward competence in handling obstetric emergencies, and in individual and team performance (P<0.004).
• Overall task completion across simulations substantially improved (P<0.05).
• No statistically significant improvements were found in knowledge, confidence, or attitudes toward simulation technology, rapid response teams, or team skills utility.

Conclusions:

• The crisis team training model is effective and applicable to obstetric emergencies.
• Trainees demonstrated positive changes in attitudes, perception of performance, and overall team performance in a simulated setting.
• The training enhanced individuals' ability to accurately assess their own performance.