The initiation of simulation training at a large community hospital

Cornelia R Graves,Phillip L Bressman,Tristin A Casteel,John E Vanhooydonk,Henry Clay Newsome,Geoffrey H Smallwood,Stephen M Staggs,Douglas H Brown,Jessica C Wells

doi:10.17077/2154-4751.1144

Cornelia R Graves, Phillip L Bressman + Show 7 more

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https://doi.org/10.17077/2154-4751.1144

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Abstract

OBJECTIVE: Since the 1990’s, simulation has been used to maintain task-oriented and behavioral skills in obstetrics and gynecology. Data on its effectiveness is still limited. The purpose of this study is to describe our experience in implementing simulation exercises at a large, private hospital. STUDY DESIGN: After reviewing the malpractice claims and maternal mortality impact of shoulder dystocia and postpartum hemorrhage, and the potential for a positive impact on patient safety through simulation training, shoulder dystocia and postpartum hemorrhage were selected as the initial focus of a new simulation training program for attending obstetrical physicians at a large, private, urban hospital. Upon obtaining approval from the institution, the Simulation Working Group developed an obstetrical simulation program emphasizing the management of shoulder dystocia and postpartum hemorrhage. Physicians who participate in deliveries at the institution were required to review a web-based educational program prior to the simulation exercise. Pre and post test questions were developed to assess the effectiveness of the information provided. The data was analyzed using Chi-Square testing with a p-value of

Highlights

Since the 1990’s, simulation-based clinical training has been expanded to address events in which urgent, accurate and cohesive team functioning is important.[1]
At three month follow up, 20% of respondents indicated they had implemented a practice change in managing a shoulder dystocia or postpartum hemorrhage case that would not have been implemented prior to participating in the training. 85.2% of respondents stated they were likely to attend another Continuing Medical Education (CME) activity involving simulation. 92.6% of respondents felt that compared to other educational modalities, simulation offered the best value for time spent
The purpose of this study is to describe our experience in implementing a simulation program initially focused on clinical management of shoulder dystocia and postpartum hemorrhage for attending physicians at a large, private, urban hospital

Summary

Introduction

Since the 1990’s, simulation-based clinical training has been expanded to address events in which urgent, accurate and cohesive team functioning is important.[1] The use of simulation training in obstetrical training has been developing rapidly over the last few years, as studies have explored the use Please cite this paper as: Graves CR, Smallwood GH, Bressman PL, Brown, DH, VanHooydonk JE, Staggs SM, Newsome HC, Casteel TA, Wells JC. The initiation of simulation training at a large community hospital. Proc Obstet Gynecol. 2012 May 2(3):Article 9 [ 12 p.]. Available from: http://ir.uiowa.edu/pog/. Free full text article.

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