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Implementation of a multicenter shoulder dystocia injury prevention program
Linda Szymanski1, Christine Arnold2, Arthur J Vaught1
1Department of Gynecology and Obstetrics, Johns Hopkins University, Johns Hopkins Medicine 600 N. Wolfe St. Phipps 264, Baltimore, MD 21287-1264.
Seminars in Perinatology
|May 28, 2017
Summary
Implementing shoulder dystocia simulation programs across multiple hospitals can reduce patient harm. Key success factors include leadership engagement, insurer support, and standardized curriculum for better clinical outcomes.
Area of Science:
- Medical simulation
- Patient safety
- Obstetrics
Background:
- Patient safety practices show increased evidence, but multi-institutional implementation lags.
- Shoulder dystocia simulation effectively reduces preventable patient harm.
- Neonatal injuries from shoulder dystocia are a major source of liability claims.
Purpose of the Study:
- To describe the development and implementation of a shoulder dystocia simulation program.
- To identify key factors for successful multi-institutional program rollout.
Main Methods:
- Program developed and implemented across five academic medical centers and affiliated hospitals.
- Collaboration with a common insurance carrier was central.
- Key factors for success were identified through the implementation process.
Main Results:
- Successful multi-institutional rollout was achieved.
- Involvement of leadership, insurer support, and standardized curriculum were critical.
- Gap analysis, financial support, and performance tracking facilitated implementation.
Conclusions:
- Multi-institutional implementation of shoulder dystocia simulation is feasible.
- Collaborative efforts involving healthcare institutions and insurers are vital for patient safety program success.
- Standardized simulation programs can mitigate risks and improve clinical outcomes in obstetrics.
