Mode of Delivery: Development and Implementation of an Obstetrical In Situ Simulation Program
Valerie Bloomfield1, Susan Ellis2, Julie Pace2
1Department of Obstetrics and Gynecology, McMaster University Medical Centre, Hamilton, ON.
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|March 16, 2020
Summary
This study implemented an in situ simulation program for obstetrical emergencies, improving healthcare team skills and identifying system safety threats. The program enhanced communication, knowledge, and procedural skills, fostering a culture of patient safety.
Area of Science:
- Medical Education
- Patient Safety
- Obstetrics & Gynecology
Background:
- Simulation is a valuable learning tool in obstetrics.
- In situ simulation assesses healthcare teams in their clinical environment.
- The program aimed to improve skills, teamwork, and identify system limitations.
Purpose of the Study:
- To create an in situ simulation program for obstetrical practice.
- To promote skills acquisition and enhance teamwork.
- To identify and address system limitations in obstetrical care.
Main Methods:
- Needs assessment identified key obstetrical emergencies.
- In situ simulations were developed and conducted.
- Latent safety threats, medical management, and leadership attitudes were assessed.
- Feedback was collected and aggregated by specialty.
Main Results:
- Monthly simulations were conducted over 14 months at two centers.
- Interdisciplinary teams participated, reporting enjoyment and improved skills.
- Participants noted enhanced communication, content, and procedural knowledge.
- Latent safety threats were identified across various categories.
Conclusions:
- A comprehensive in situ simulation program for obstetrical emergencies was successfully implemented.
- In situ simulation facilitates deliberate practice and promotes patient safety.
- The program provided data for identifying practice limitations and informing policy changes.
