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Obstetric Simulation Training and Teamwork: Immediate Impact on Knowledge, Teamwork, and Adherence to Hemorrhage
Joy A Greer1, Monica A Lutgendorf, Christopher S Ennen
1From the Healthcare Simulation and Bioskills Training Center (J.A.G., L.V.P., A.M., D.R.D.), and Department of Gynecologic Surgery and Obstetrics, Naval Medical Center, Portsmouth, VA (J.A.G., C.S.E.); Department of Gynecologic Surgery and Obstetrics (J.A.G., M.A.L.), Uniformed Services University of Health Sciences, Bethesda, MD; Department of Gynecologic Surgery and Obstetrics (M.A.L., D.S., J.F.), Naval Medical Center, San Diego, CA; Department of Anesthesia, Naval Medical Center, Portsmouth, VA (R.M.); and Bioskills (C.N.S.), Simulation Training Center, Naval Medical Center, San Diego, CA.
The Obstetric Simulation Training and Teamwork (OB-STaT) curriculum improved healthcare teams' knowledge, teamwork, and protocol adherence during simulated postpartum hemorrhage (PPH) events. This training shows potential for reducing PPH-related complications.
Area of Science:
- Obstetrics and Gynecology
- Medical Education
- Patient Safety
Background:
- Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity.
- Standardized simulation training is crucial for effective PPH management.
- The Obstetric Simulation Training and Teamwork (OB-STaT) curriculum was developed to address these needs.
Purpose of the Study:
- To evaluate the impact of the OB-STaT curriculum on PPH knowledge, teamwork, protocol adherence, and patient satisfaction.
- To assess the effectiveness of interprofessional simulation in a health system setting.
Main Methods:
- The OB-STaT program was implemented across 8 US Navy hospitals.
- Knowledge, teamwork, and patient perception were assessed using validated tests and scales.
- Protocol adherence was measured using role-specific checklists.
Main Results:
- Significant improvements were observed in obstetrician knowledge scores (P < 0.01).
- Interprofessional teamwork scores significantly increased (P < 0.01).
- Anesthesia, nursing, and obstetric teams showed significant gains in protocol adherence (P < 0.02).
- Patient satisfaction regarding feeling well-informed improved significantly (P < 0.01).
Conclusions:
- The OB-STaT curriculum effectively enhanced teamwork, communication, and protocol adherence in simulated PPH scenarios.
- This simulation-based training holds promise for reducing PPH morbidity.
