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Show OB Team Training Teaching a team of experts how to be an expert team Janet Fisher MS RNC, Kim Meyer MS, RNC, Nikole Iher BS, RNC, Kristina McAfee, Zuzana Stehlikova MD, Bernice Tenort RNC, Erin Clark MD, Stephanie Lin MD, Martha Monson MD, Susanna Cohen DNP CNM Evaluation Method Background Every delivery that occurs in the hospital is a multidisciplinary event which may involve obstetricians, family medicine, nurse midwives, anesthesiologist, nursing, support staff as well as newborn nurses, respiratory therapists and pediatricians Participant comments • "I really appreciate the open discussion with anesthesia Starting in 2013 all participants evaluated the training session using the Clinical Teamwork Scale. This validated scale was developed with the support of the Agency for Healthcare Research and Quality The CTS contains 15 questions in 5 clinical teamwork domains: - - - - - The Joint Commission issued a Sentinel Alert in 2004 citing that the primary causes of perinatal death and injury are ineffective communication and teamwork and the OB Chief about priorities in an emergences" • "It was really helpful to have this happen in a controlled situation so I could practice. Now I know whet to do" Communication Situational Awareness Decision making Role Responsibility Patient friendliness • "Everyone was very respectful Respect helps a lot with good communication and can make a difference with patient outcomes" Cumulative Yearly Scores Based on Participant Evaluations In addition to TJC several national perinatal organizations have issued directives promoting team training in high-risk OB events with an emphasis on communication and teamwork • "The chance to be able to see myself handle my responsibility was good. It will help me do better and be more helpful to the team" • "Debriefing was helpful and a supportive environment" 9 Pre-delivery team huddle/delivery review Conclusion 8.5 7 Multidisciplinary team training is a shared learning experience between faculty and staff that creates a common vocabulary and frame of reference for the application of communication and teamwork skills in clinical care. Teamwork training is a critical part of any comprehensive safety plan 8.8 Patient Friendly 8 7.8 8.5 Perform as a leader 8.3 7.5 References 8.5 Overall Role Responsibility Rating Discussion - - - - 7.6 2014 7.6 Overall decision making RESEARCH POSTER PRESENTATION DESIGN © 2012 www.PosterPresentations.com 2013 8.3 7.7 8.3 Overall situational awareness 7.3 7.6 Obstetricians (Attending & Residents) Anesthesiologists (Attending & Residents) Nurse Midwives L&D nurses and support staff This simulation program is done in situ using both a standardized patient and simulation manikin The scenarios are taped and viewed in the debriefing sessions 2015 Axis Title OB Team Training has been in place since 2006. Twelve four-hour sessions are done yearly. The clinical focus is on a specific high-risk OB event such as postpartum hemorrhage, eclamptic seizures or maternal cardiac arrest with perimortem cesarean section Every year approximately 160 participants go through OB Team Training including: 8.4 8.7 Overall communication 8 7.3 8 How would you rate teamwork during this delivery/emergency? 8.1 7.6 0 1 2 3 4 5 6 7 8 9 10 2015 How would you rate teamwork during this delivery/emergency? 8 8.7 8.3 7.6 8.5 8.5 8.8 9 2014 8.1 8 7.3 8.3 8.4 8.3 8 8.5 2013 7.6 7.3 7.6 7.7 7.6 7.5 7.8 7 Overall communication Overall situational awareness Overall decision making Overall Role Responsibility Rating Perform as a leader Patient Friendly Axis Title Pre-delivery team huddle/delivery review Guise, J. M., Deering, S. H., Kanki, B. G., Osterweil, P., Mori, M., & Lowe, N. K. (2008). Validation of a tool to measure and promote clinical teamwork. Simulation Healthcare, 3(4), 217223. doi:10.1097/SIH.0b013e31816fdd0a Deering, S., Johnston, L. C., & Colacchio, K. (2011). Multidisciplinary Teamwork and Communication Training. Seminars in Perinatology, 35(2), 89-96. doi:10.1053/j.semperi.2011.01.009 Dadiz, R., Weinschreider, J., Schriefer, J., Arnold, C., Greves, C. D., Crosby, E. C., Guillet, R. (2013). Interdisciplinary Simulation-Based Training to Improve Delivery Room Communication. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 8(5), 279-291. doi:10.1097/sih.0b013e31829543a3 Guise, J., & Segel, S. (2008). Teamwork in obstetric critical care. Best Practice & Research Clinical Obstetrics & Gynaecology, 22(5), 937-951. doi:10.1016/j.bpobgyn.2008.06.010 The Joint Commission. (2004, July 21). Retrieved May 06, 2016, from http://www.jointcommission.org/sentinel_event_alert_issue_4 4_preventing_maternal_death/ |
