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Multidisciplinary in situ simulation to improve emergency obstetric care
  1. Marja Brolinson1,
  2. Katelyn Tondo-Steele1,
  3. Miriam Chan2,
  4. Brad Gable3
  1. 1 Graduate Medical Education, OhioHealth, Columbus, Ohio, USA
  2. 2 Medical Education, OhioHealth, Columbus, Ohio, USA
  3. 3 Center for Medical Education & Innovation, OhioHealth, Columbus, Ohio, USA
  1. Correspondence to Dr Brad Gable, Center for Medical Education & Innovation, OhioHealth, Columbus, Ohio 43214, USA; Brad.Gable2{at}ohiohealth.com

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Introduction

Trauma among pregnant women occurs during 1 in 12 pregnancies1 and pregnant trauma patients are twice as likely to die or suffer significant morbidity compared with their non-pregnant counterparts.2 Management of traumatic injuries in the obstetric patient requires a multidisciplinary approach for rapid assessment, treatment and transport to optimise maternal and fetal outcomes. Multidisciplinary team training using simulation for obstetric emergencies can improve clinical skills, teamwork and patient safety.3 Simulation training can also enhance communication among providers that can further increase the efficiency of the emergency response.4 According to the American College of Obstetricians and Gynecologists Committee on patient safety and quality improvement, simulation training can identify and correct common clinical errors made during emergencies, as well as allow team members to practice effective communication in a crisis.5

Medical simulation is widely utilised in the obstetric and surgical residency curricula at our institution. Additionally, our nursing onboarding involves a significant amount of simulation, as does the ongoing education of the other allied health professions. However, we recognised that our training was occurring in educational silos and sought to improve teamwork, role clarity and the use of protocols among multidisciplinary team members who respond to traumatically injured pregnant patients. We conducted an in situ simulation and debriefing to train our multidisciplinary team on the unique emergency care needs of pregnant trauma patients and to identify latent safety threats (LSTs). We also used the simulation to clarify and evaluate …

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Footnotes

  • Contributors All four authors conceived of the presented article. MB, KT-S and BG helped write the simulation case. BG constructed the survey tool. All four authors performed analysis of the data. Additionally, all authors contributed to the writing of the article. All authors serve as guarantors, with BG acting as the corresponding author.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests BG is employed by OhioHealth for work in Graduate Medical Education. Additionally, BG is employed by Mid-Ohio Emergency Services as an emergency department physician. MB and KT-S are employed by OhioHealth as a resident physician. MC is employed by OhioHealth as the Program Director of Quality and Safety Fellowship, Department of Medical Education—OhioHealth Riverside Methodist Hospital. Additionally, she is employed as the Director of Scholarly Activity and Population Health, OhioHealth Riverside Family Medicine Residency Program—OhioHealth Riverside Methodist Hospital.

  • Provenance and peer review Not commissioned; internally peer reviewed.

  • Collaborators John Elliot (JO Elliot), Senior Consultant for Academic Research in the Ohio Health Research Institute.

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