412. Simulation-based education at the heart of the matter

Abstract

Introduction Cardiac disease in pregnancy remains the leading cause of mortality and morbidly worldwide. Recognition and management can be challenging. In response, we developed a multi-disciplinary simulation-based training programme; 50% practical/technical skills and 50% human-factors/non-technical skills (communication, leadership and teamwork). Objectives Utilising a systematic ABCDE approach, knowing & understanding the symptoms, signs & management of cardiac disease in pregnancy and be aware of the important human factors to improve patient safety. Methods Each scenario involved a simulated-patient, played by the Maternal Simulator (Noelle®), an embedded practitioner and course participants (3–5) comprising of midwives, obstetricians, physicians and anaesthetists. Scenarios included acute coronary syndrome, pulmonary oedema, aortic dissection and cardiac arrest. Results This study evaluated the educational impact of six one-day courses with healthcare staff (n = 84). There was an improvement in both participants’ knowledge, clinical management of cardiac disease in pregnancy and an improvement in a validated and reliable self-efficacy human-factors toolkit; I am confident in my knowledge of the physiological changes of the heart in pregnancy. The chi-square statistic was 15.4189. The p-value was I am confident in managing pregnant women with cardiac disease. The chi-square statistic was 15.4756. The p-value was Using the Human Factor Skills for Healthcare Instrument 0–10 score. The paired two-tailed T-test of 42 sets of paired pre and post data had a mean change 0.96. The value of t was 6.854051. The p-value was Discussion This course provided technical knowledge and confidence in managing cardiac disease, whilst allowing for a greater understanding of others’ professional roles. Simulation-based education is a promising avenue for reducing the mortality and morbidity of cardiac disease in pregnancy. It is responsive to the changing needs of the team whilst managing a pregnant woman.