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Description of a Swine Infant Model of Volume-Controlled Hemorrhagic Shock

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Using network analysis to support fluid teams managing postpartum hemorrhage.

Kaitlyn L Hale-Lopez¹, Neelam Verma², Shruti Chakravarthy²

¹Department of Industrial and Enterprise Systems Engineering, University of Illinois Urbana-Champaign, Urbana, Illinois, USA.

|April 26, 2025

Summary

Improving teamwork in postpartum hemorrhage (PPH) management requires new strategies for fluid teams. Decentralized communication and task-focused behaviors enhance team effectiveness in dynamic obstetric emergencies.

Keywords:

Fluid Team Network Analysis Postpartum Hemorrhage Teamwork

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Integrated Compensatory Responses in a Human Model of Hemorrhage

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Published on: November 20, 2016

Area of Science:

Healthcare Systems Engineering
Patient Safety
Obstetrics and Gynecology

Background:

Traditional teamwork strategies may be insufficient for dynamic clinical situations like postpartum hemorrhage (PPH).
Fluid teams in obstetrics face unique challenges in maintaining effective collaboration during PPH events.

Purpose of the Study:

To identify strategies for improving teamwork in fluid teams managing PPH using the Systems Engineering Initiative for Patient Safety (SEIPS) model.
To explore clinician perceptions of team membership, interactions, and effectiveness during PPH management.

Main Methods:

Administered a close-ended survey to obstetrics and gynecology clinicians.
Utilized network analysis to examine clinician interactions and their relationship with team effectiveness.
Applied the SEIPS model as a framework for analysis.

Main Results:

Interaction types and frequencies varied significantly based on clinician roles.
A weak, positive correlation was observed between team membership and perceived team effectiveness.
Identified specific communication and behavioral patterns influencing teamwork.

Conclusions:

Decentralized communication structures can improve teamwork in fluid PPH teams.
Implementing task-focused behaviors is a key strategy for enhancing team effectiveness.
Work system design modifications are crucial for optimizing collaboration during obstetric emergencies.