团队模拟的频率和在实施更安全的分娩护理包后减少孕产妇死亡率 - 一项前性观察性研究
Kjetil Torgeirsen1,2, Benjamin Kamala3,4, Estomih Mduma3
1SAFER Simulation Center, Stavanger, Norway. kjetil.torgeirsen@safer.net.
Advances in simulation (London, England)
|November 14, 2025
概括
在安全出生护理包 (SBBC) 计划中的模拟培训显著减少了坦桑尼亚的孕产妇死亡率. 增加频率和反复参与模拟会议与这些改善的孕产妇安全结果密切相关.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 提高质量 提高质量
背景情况:
- 安全分娩护理套餐 (SBBC) 是坦桑尼亚实施的持续质量改进计划.
- 模拟培训被整合到SBBC中,以提高临床技能和解决已识别的需求.
- 该计划已经证明,孕产妇死亡率显著降低.
研究的目的:
- 为了确定SBBC程序中记录的模拟会话的频率.
- 评估模拟培训中经常参与者的数量.
- 调查模拟会话频率,参与者复发和孕产妇死亡率变化之间的关联.
主要方法:
- 从2020年到2023年,在坦桑尼亚的30个设施中进行了一项阶梯集群随机实施研究.
- 使用SimBegin®辅导员培训计划,培训当地辅导员和教练.
- 收集和分析了模拟会话,参与者数量和产妇死亡率的数据.
主要成果:
- 超过281,000名妇女被纳入,记录了1280次模拟会议.
- 在SBBC实施后,产妇死亡率从240/100,000下降到60/100,000出生.
- 更高的模拟会话频率和更频繁的参与者与减少的孕产妇死亡率有显著的关联.
结论:
- 模拟课程是SBBC课程的重要组成部分.
- 增加模拟培训的频率和持续参与与显著减少孕产妇死亡率有关.
- 这些发现支持将基于模拟的培训整合到提高孕产妇保健质量举措中.
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