Mobile in situ obstetric emergency simulation and teamwork training to improve maternal-fetal safety in hospitals

Joint Commission Journal on Quality and Patient Safety

Volumn 36, Issue 10, 2010, Pages 443-453

  Guise, Jeanne Marie ^a   Lowe, Nancy K ^b   Deering, Shad ^c   Lewis, Patricia O ^d   O'Haire, Christen ^d   Irwin, Lori K ^e   Blaser, Molly ^f   Wood, Laurie S ^g   Kanki, Barbara G ^h  

^a Science University   (United States)

^b UNIVERSITY OF COLORADO   (United States)

^c MADIGAN ARMY MEDICAL CENTER   (United States)

^d OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^e OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^f OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^g Maricopa Integrated Health Systems   (United States)

^h NASA AMES RESEARCH CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CLINICAL COMPETENCE; EDUCATION; EMERGENCY MEDICINE; EMERGENCY TREATMENT; FEMALE; HUMAN; IN SERVICE TRAINING; OBSTETRICS; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PREGNANCY; PREGNANCY COMPLICATION; PREGNANCY OUTCOME; SAFETY; STANDARD; TEACHING;

CLINICAL COMPETENCE; EMERGENCY MEDICINE; EMERGENCY TREATMENT; FEMALE; HUMANS; INSERVICE TRAINING; OBSTETRICS; PATIENT CARE TEAM; PATIENT SIMULATION; PREGNANCY; PREGNANCY COMPLICATIONS; PREGNANCY OUTCOME; SAFETY MANAGEMENT;

EID: 78651228457     PISSN: 15537250     EISSN: None     Source Type: Journal    
DOI: 10.1016/s1553-7250(10)36066-1     Document Type: Article

References (41)

1. Hamilton B. E., Martin J. A., Sutton P. D.: Births: Preliminary data for 2003. Natl Vital Stat Rep 53:1-17, Nov. 23, 2004.
2. Jiang H., et al.: Care of women in U. S. hospitals, 2000. 2002 HCUP Fact Book No. 3. Agency for Healthcare Research and Quality, 2002. http://www.ahrq.gov/data/hcup/factbk3/(last accessed Aug. 24, 2010).
3. Johanson R. B., et al.: Managing obstetric emergencies and trauma (MOET) structured skills training in Armenia, utilising models and reality based scenarios. BMC Med Edttc 2:5, May 2002.
4. Baldisseri M.: Amniotic Fluid Embolism Syndrome. http://www.uptodate.com/ patients/content/topic.do?topicKey=~mJJmAFbjGf455V&selectedTitle= 1%7E17&source=search-resulr. (last accessed Aug. 24, 2010).
5. The Joint Commission: Preventing infant death and injury during delivery. Sentinel Event Alert. Issue 30, Jul. 21, 2004.
6. http://www.jointcommission.org/SentinelEvents/SentinelEventAlert/sea-30. htm (last accessed Aug. 24, 2010).
7. Maternal and Child Health Research Consortium: 7th Annual Report of the Confidential Enquiry into Stillbirths and Deaths in Infancy. Jun. 2000. http://www.cmace.org.uk/gerattachment/b858e5e8-862a-4l21-9348-b9284d02dblb/ 7th-Annual-Report.aspx (last accessed Aug. 24, 2010).
8. Institute of Medicine: To Err Is Human: Building a Safer Health System. Washington, DC: National Academy Press, 1999.
9. U. K. Department of Health: Why Mothers Die: Report on Confidential Enquiries into Maternal Deaths in the United Kingdom, 1994-1996. Norwich, UK: The Stationary Office, 1998.
10. White A. A., et al.: Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol 105:1031-1038, May 2005.
11. Singh H., et al.: Medical errors involving trainees: A study of closed malpractice claims from 5 insurers. Arch Intern Med 167:2030-2036, Oct. 2007.
12. Shojania K., et al.: Making Health Care Safer. A Critical Analysis of Patient Safety Practices. Evidence Report/Technology Assessment No. 43. Rockville, MD: Agency for Healthcare Research and Quality, 2001.
13. Gayman A., et al.: Implications of crew resource management training for tank crews. Paper presented at the Interservice/Industry Training System and Education Conference, Orlando, FL, 1996.
14. Grubb G., Simon R., Zeller J.: Effects of crew coordination training and evaluation methods on AH-64 attack helicopter battalion crew performance. Arlington, VA: U. S. Army Research Institute for the Behavioral and Social Sciences, 1993.
15. Salas E., et al.: Team training in the skies: Does crew resource management (CRM) training work? Hum Factors 43:641-674, Winter 2001.
16. Chopra V., et al.: Does training on an anaesthesia simulator lead to improvement in performance? Br J Anaesth 73:293-297, Sep. 1994.
17. Holzman R. S., et al.: Anesthesia crisis resource management: Real-life simulation training in operating room crises. J Clin Anesth 7:675-687, Dec. 1995.
18. Howard S. K., et al.: Anesthesia crisis resource management training: Teaching anesthesiologists to handle critical incidents. Aviat Space Environ Med 63:763-770, Sep. 1992.
19. Ballaro A., et al.: A computer generated interactive transurethral prostatic resection simulator. J Urol 162:1633-1635, Nov. 1999.
20. Bettega G., et al.: A simulator for maxillofacial surgery integrating 3D cephalometry and orthodontia. Comput Aided Surg 5(3):156-165, 2000.
21. Carrico C., Satava R.: Advanced simulation technologies for surgical education. Bull Am Coll Surg 81(7):77, 1996.
22. Chong C. K., et al.: Development of a simulator for endovascular repair of abdominal aortic aneurysms. Ann Biomed Eng 26:798-802, Sep.-Oct. 1998.
23. Derossis A. M., et al.: The effect of practice on performance in a laparoscopic simulator. Surg Endosc 12:1117-1120, Sep. 1998.
24. Fried G. M., et al.: Comparison of laparoscopic performance in vivo with performance measured in a laparoscopic simulator. Surg Endosc 13:1077-1081, Nov. 1999.
25. Gordon J., Brown D., Armstrong E.: Can a simulated critical care encounter accelerate basic science learning among preclinical medical students? A pilot studv. Simil Healthc 1:13-17, Jan. 2006.
26. Sutherland L. M., et al.: Surgical simulation: A systematic review. Ann Surg 243:291-300, Mar. 2006.
27. Szekely G., et al.: Virtual reality based surgery simulation for endoscopic gynaecology. Stud Health Technol Inform 62:351-357, 1999.
28. Advanced Life Support in Obstetrics [course syllabus], Leawood, KS: American Academy of Family Physicians, 1993.
29. Deering S., et al.: Simulation training and resident performance of singleton vaginal breech delivery. Obstet Gynecol 107:86-89, Jan. 2006.
30. Deering S., et al.: Improving resident competency in the management of shoulder dystocia with simulation training. Obstet Gynecol 103:1224-1228, Jun. 2004.
31. Deering S. H., Satin A. J.: Teaching infrequently used skills: Vaginal breech delivery [comment], Obstet Gynecol 104:191-192, Jul. 2004.
32. Thomas E. J., Sexton J. B., Helmreich R. L.: Translating teamwork behaviours from aviation to healthcare: Development of behavioural markers for neonatal resuscitation. Qual Saf Health Care 13 (suppl. 1):57-64, Oct. 2004.
33. Thomas E. J., et al.: Teamwork and quality during neonatal care in the delivery room. J Perinatal 26:163-169, Mar. 2006.
34. Crofts J. E., et al.: Change in knowledge of midwives and obstetricians following obstetric emergency training: A randomised controlled trial of local hospital, simulation centre and teamwork training. BJOG 114:1534-1541, Dec. 2007.
35. Crofts J. E., et al.: Observations from 450 shoulder dystocia simulations: Lessons for skills training. Obstet Gynecol 112:906-912, Oct. 2008.
36. Draycott T. J., et al.: Improving neonatal outcome through practical shoulder dystocia training. Obstet Gynecol 112:14-20, Jul. 2008.
37. Draycott T., et al.: Does training in obstetric emergencies improve neonatal outcome? BJOG 113:177-182, Feb. 2006.
38. Smits A. K., et al.: Factors influencing cessation of pregnancy care in Oregon. Fam Med 36:490-495, Jul.-Aug. 2004.
39. Centers for Medicare & Medicaid Services (CMS): EMTALA Emergency Medical Treatment and Active Labor Act: http://www.cms.gov/EMTALA/(last accessed Aug. 23, 2010).
40. Patterson E., Roth E., Woods D.: Facets of complexity in situated work. In Patterson E. S., Miller J. (eds.): Macrocognition Metrics and Scenarios: Design and Evaluation for Real-World Teams. Farnham, UK: Ashgate Publishing, 2010.
41. Pian-Smith M. C., et al.: Teaching residents the two-challenge rule: A simulation-based approach to improve education and patient safety. Simul Healthc 4:84-91, Summer 2009.