Improved performance of maternal-fetal medicine staff after maternal cardiac arrest simulation-based training

被引：46

作者：

Fisher, Nelli ^{[1
]}

Eisen, Lewis A. ^{[2
]}

Bayya, Jyothshna V. ^{[1
]}

Dulu, Alina ^{[2
]}

Bernstein, Peter S. ^{[3
]}

Merkatz, Irwin R. ^{[3
]}

Goffman, Dena ^{[3
]}

机构：

[1] Maimonides Hosp, Dept Obstet & Gynecol, Brooklyn, NY 11219 USA

[2] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Med, Div Crit Care Med, Bronx, NY 10467 USA

[3] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Obstet & Gynecol & Womens Hlth, Bronx, NY 10467 USA

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2011年 / 205卷 / 03期

关键词：

maternal cardiac arrest; obstetric simulation training; simulation education; CARDIOPULMONARY-RESUSCITATION; QUALITY; SKILLS;

D O I：

10.1016/j.ajog.2011.06.012

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

OBJECTIVE: To determine the impact of simulation-based maternal cardiac arrest training on performance, knowledge, and confidence among Maternal-Fetal Medicine staff. STUDY DESIGN: Maternal-Fetal Medicine staff (n = 19) participated in a maternal arrest simulation program. Based on evaluation of performance during initial simulations, an intervention was designed including: basic life support course, advanced cardiac life suppport pregnancy modification lecture, and simulation practice. Postintervention evaluative simulations were performed. All simulations included a knowledge test, confidence survey, and debriefing. A checklist with 9 pregnancy modification (maternal) and 16 critical care (25 total) tasks was used for scoring. RESULTS: Postintervention scores reflected statistically significant improvement. Maternal-Fetal Medicine staff demonstrated statistically significant improvement in timely initiation of cardiopulmonary resuscitation (120 vs 32 seconds, P = .042) and cesarean delivery (240 vs 159 seconds, P = .017). CONCLUSION: Prompt cardiopulmonary resuscitation initiation and pregnancy modifications application are critical in maternal and fetal survival during cardiac arrest. Simulation is a useful tool for Maternal-Fetal Medicine staff to improve skills, knowledge, and confidence in the management of this catastrophic event.

引用

页数：5

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