Interdisciplinary Skills Review Program to Improve Team Responses During Postpartum Hemorrhage

Area of Science:

• Obstetrics and Gynecology
• Medical Education
• Healthcare Quality Improvement

Background:

• Postpartum hemorrhage (PPH) poses significant risks, particularly in high-risk populations with comorbidities.
• Effective management of PPH requires strong interdisciplinary team coordination and timely intervention.
• A need was identified for a comprehensive program to enhance PPH response in an academic medical center.

Purpose of the Study:

• To develop and implement an interdisciplinary, interactive skills review program.
• To improve healthcare team recognition, assessment, and intervention during postpartum hemorrhage.
• To enhance overall team response effectiveness in managing PPH events.

Main Methods:

• A blended learning approach combining online didactic modules and seven in-person, hemorrhage-related skills stations.
• Interdisciplinary participation including nurses, physicians (obstetrics and family medicine), advanced practice nurses, and ancillary staff.
• Program completion involved prerequisite online modules, hands-on skills stations, and an in situ simulation, followed by evaluation.

Main Results:

• Participants rated the program highly for effectiveness in improving interdisciplinary team responses to PPH (3.94/4.00).
• Post-program surveys indicated overwhelmingly positive feedback and increased participant confidence.
• Knowledge and perceived competence in managing PPH events significantly improved among participants.

Conclusions:

• An interdisciplinary program integrating didactic learning, interactive skills stations, and simulation is effective.
• This comprehensive approach enhances team confidence and improves responses to postpartum hemorrhage.
• Such programs are crucial for optimizing patient safety and outcomes in obstetric care.