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Specialized Care Centers and Settings-II01:30

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Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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Updated: Jun 26, 2025

Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
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A Statewide Mobile Simulation Program For Improving Obstetric Skills in Rural Hospitals.

Kokila Thenuwara1, Donna Santillan2, Jill Henkle2

  • 1From the Departments of Anesthesia.

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A mobile simulation program improved obstetric skills for rural providers in low-volume units and emergency departments. This initiative enhanced postpartum hemorrhage management and team-based care for pregnant patients.

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Area of Science:

  • Medical Simulation
  • Rural Health
  • Maternal Care

Background:

  • Rural obstetric unit closures create maternal care deserts, increasing travel distances for expectant mothers.
  • Emergency departments (EDs) in hospitals without obstetric units require ongoing training to maintain skills.
  • Rural Level-1 obstetric units with low patient volumes also need regular skill maintenance.

Purpose of the Study:

  • To develop and implement a mobile simulation program for obstetric (OB) training in rural settings.
  • To enhance OB skills and standardize care using Alliance for Innovation in Maternal Health (AIM) Patient Safety Bundles.
  • To address the training needs of both Level-1 OB units and EDs without OB services.

Main Methods:

  • A mobile simulation unit was developed following needs assessments.
  • A train-the-trainer curriculum was created for Level-1 OB units, including task trainers and virtual workshops.
  • In situ simulations were conducted for Level-1 OB unit staff and ED staff, with virtual didactics for EDs.

Main Results:

  • 98% of participants agreed workshop goals were met; 95% improved simulator knowledge.
  • Level-1 OB unit staff reported a 30% increase in postpartum hemorrhage (PPH) management ability.
  • ED staff showed improved basic OB knowledge (95.4%) and team skills in caring for pregnant patients (>95%).

Conclusions:

  • The mobile simulation program successfully improved skills for managing simulated PPH and OB emergencies.
  • Training enhanced the capabilities of hospital staff in Level-1 OB units and EDs lacking OB services.
  • Further research is needed to evaluate the impact on actual maternal outcomes.