The active components of effective training in obstetric emergencies
- 10 June 2009
- journal article
- review article
- Published by Wiley in BJOG: An International Journal of Obstetrics and Gynaecology
- Vol. 116 (8), 1028-1032
- https://doi.org/10.1111/j.1471-0528.2009.02178.x
Abstract
Confidential enquiries into poor perinatal outcomes have identified deficiencies in team working as a common factor and have recommended team training in the management of obstetric emergencies. Isolated aviation‐based team training programmes have not been associated with improved perinatal outcomes when applied to labour ward settings, whereas obstetric‐specific training interventions with integrated teamwork have been associated with clinical improvements. This commentary reviews obstetric emergency training programmes from hospitals that have demonstrated improved outcomes to determine the active components of effective training. The common features identified were: institution‐level incentives to train; multi‐professional training of all staff in their units; teamwork training integrated with clinical teaching and use of high fidelity simulation models. Local training also appeared to facilitate self‐directed infrastructural change.Keywords
This publication has 15 references indexed in Scilit:
- Retrospective cohort study of diagnosis–delivery interval with umbilical cord prolapse: the effect of team trainingBJOG: An International Journal of Obstetrics and Gynaecology, 2009
- Improving Neonatal Outcome Through Practical Shoulder Dystocia TrainingObstetrics & Gynecology, 2008
- Hospital, Simulation Center, and Teamwork Training for Eclampsia ManagementObstetrics & Gynecology, 2008
- Patient-actor perception of care: a comparison of obstetric emergency training using manikins and patient-actorsQuality and Safety in Health Care, 2008
- Impact of CRM–Based Team Training on Obstetric Outcomes and Clinicians’ Patient Safety AttitudesThe Joint Commission Journal on Quality and Patient Safety, 2007
- Management of Shoulder DystociaObstetrics & Gynecology, 2007
- Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation TrustBest Practice & Research Clinical Obstetrics & Gynaecology, 2007
- Effects of Teamwork Training on Adverse Outcomes and Process of Care in Labor and DeliveryObstetrics & Gynecology, 2007
- Does Crew Resource Management Training Work? An Update, an Extension, and Some Critical NeedsHuman Factors: The Journal of the Human Factors and Ergonomics Society, 2006
- Does training in obstetric emergencies improve neonatal outcome?BJOG: An International Journal of Obstetrics and Gynaecology, 2006