Sunday, Sep 26 - Expo Hall Opening
Sunday, Sep 26 - Job Fair
Monday,
Sep 27 - AWHONN's Block Party
Sunday, September 26, 2010
Title: Using OB Simulation as An Innovative Strategy to Improve Outcomes in the Perinatal Setting
Discipline: Newborn (NB), Childbearing (CB), Advanced Practice (AP)
Learning Objectives:
Submission Description:- Discuss how OB emergency simulation can be easily incorporated as a strategy to improve patient outcomes.
- Identify two common perinatal emergencies that simulation team training techniques effectively address.
- Apply low cost simulation strategies and tools to any practice setting
The technique of simulation has been used in crew resource management (CRM) training for many years. Developed by the aviation industry in response to accidents and safety issues, these team training techniques have shown to decrease medical errors and provide for safer outcomes (McConaughey, 2008). As the attention towards safety in the medical practice setting has gained attention, the use of simulation for team training in the perinatal setting has increased. The goal of CRM is to take a group of individuals and organize them into a team that can think and act as on unit in an emergency situation (Hunt, Shilkofsi, Stavroudis, Nelson, 2007).
The Obstetric specialty is one of the areas that is focused patient safety and the reduction of risk. The obstetric providers and nurses function in a high-risk,dynamic, 24 hour a day environment. Because of this high-risk environment, communication and teamwork is essential. In July 2004, the Joint Commission for Accreditation of Healthcare Orgnization (Joint Commission) issued an alert noting that ineffective communication was the root cause of 66% of the sentinel events reported, and it was involved in 85% of the cases of perinatal death and injury ( Joint Commission Sentinel Event alert No 30).
For the past two years, The Allina Health System has been involved in critical event team training through the use of simulation, as part of a perinatal safety project. As a result, simulation has become an credentialing requirement and essential component in the twice yearly mandatory education of the nursing staff. Examples of the simulations conducted over the past year include: shoulder dystocia, postpartum hemorrhage, emergency cesarean birth, neonatal resuscitation, and high-spinal drills. Improvements in shoulder dystocia outcomes have been documented. This presentation will introduce the three components of simulation: pre-brief, simulation practice, and debrief; discuss the strategies involved in this training technique; provide examples of its use in the practice setting; and share low cost tools and approaches for the participants to use in their own institutions.
The Obstetric specialty is one of the areas that is focused patient safety and the reduction of risk. The obstetric providers and nurses function in a high-risk,dynamic, 24 hour a day environment. Because of this high-risk environment, communication and teamwork is essential. In July 2004, the Joint Commission for Accreditation of Healthcare Orgnization (Joint Commission) issued an alert noting that ineffective communication was the root cause of 66% of the sentinel events reported, and it was involved in 85% of the cases of perinatal death and injury ( Joint Commission Sentinel Event alert No 30).
For the past two years, The Allina Health System has been involved in critical event team training through the use of simulation, as part of a perinatal safety project. As a result, simulation has become an credentialing requirement and essential component in the twice yearly mandatory education of the nursing staff. Examples of the simulations conducted over the past year include: shoulder dystocia, postpartum hemorrhage, emergency cesarean birth, neonatal resuscitation, and high-spinal drills. Improvements in shoulder dystocia outcomes have been documented. This presentation will introduce the three components of simulation: pre-brief, simulation practice, and debrief; discuss the strategies involved in this training technique; provide examples of its use in the practice setting; and share low cost tools and approaches for the participants to use in their own institutions.
