Interdisciplinary team training identifies discrepancies in institutional policies and practices

被引：19

作者：

Andreatta, Pamela ^{[1
]}

Frankel, Jennifer ^{[2
]}

Smith, Sara Boblick ^{[3
]}

Bullough, Alexandra ^{[4
]}

Marzano, David ^{[1
]}

机构：

[1] Univ Michigan, Dept Obstet & Gynecol, Sch Med, Ann Arbor, MI 48109 USA

[2] Univ Michigan, Dept Emergency Med, Sch Med, Ann Arbor, MI 48109 USA

[3] Univ Michigan, Dept Pediat Med, Sch Med, Ann Arbor, MI 48109 USA

[4] Univ Michigan, Dept Anesthesiol, Sch Med, Ann Arbor, MI 48109 USA

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2011年 / 205卷 / 04期

关键词：

health care quality and safety; interdisciplinary team training; institutional policies and procedures; obstetric emergencies; MANAGEMENT;

D O I：

10.1016/j.ajog.2011.02.022

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

The objective of this study was to evaluate the impact of an interdisciplinary team-training program in obstetric emergencies on identifying unsupportive institutional policies and systems-based practices. We implemented a qualitative study design with a purposive sample of interdisciplinary physicians, nurses, and ancillary allied health professionals from 4 specialties (n = 79) to conduct a 6-month, weekly simulation-based intervention for managing obstetric emergencies. Debriefing focused on identifying discrepancies between clinical practice and institutional policies. Our data yielded 5 categories of discrepancies between institutional or departmental policy and actual clinical practice. Specific institutional policies and system-based practices were recommended to health system administration for reevaluation. Simulation-based interdisciplinary team training can inform system-wide quality improvement objectives that could lead to increased patient safety.

引用

页码：298 / 301

页数：4

共 13 条

[1] Patient-actor perception of care: a comparison of obstetric emergency training using manikins and patient-actors [J].

Crofts, J. F. ;

Bartlett, C. ;

Ellis, D. ;

Winter, C. ;

Donald, F. ;

Hunt, L. P. ;

Draycott, T. J. .

QUALITY & SAFETY IN HEALTH CARE, 2008, 17 (01) :20-24

[2] Observations from 450 shoulder dystocia simulations - Lessons for skills training [J].

Crofts, Joanna F. ;

Fox, Robert ;

Ellis, Denise ;

Winter, Catherine ;

Hinshaw, Kim ;

Draycott, Timothy J. .

OBSTETRICS AND GYNECOLOGY, 2008, 112 (04) :906-912

[3] Use of Simulation Based Team Training for Obstetric Crises in Resident Education [J].

Daniels, Kay ;

Lipman, Steven ;

Harney, Kimberly ;

Arafeh, Julie ;

Druzin, Maurice .

SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN HEALTHCARE, 2008, 3 (03) :154-160

[4] Simulation training and resident performance of singleton vaginal breech delivery [J].

Deering, S ;

Brown, J ;

Hodor, J ;

Satin, AJ .

OBSTETRICS AND GYNECOLOGY, 2006, 107 (01) :86-89

[5] Does training in obstetric emergencies improve neonatal outcome? [J].

Draycott, T ;

Sibanda, T ;

Owen, L ;

Akande, V ;

Winter, C ;

Reading, S ;

Whitelaw, A .

BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2006, 113 (02) :177-182

[6] Improving neonatal outcome through practical shoulder dystocia training [J].

Draycott, Timothy J. ;

Crofts, Joanna F. ;

Ash, Jonathan P. ;

Wilson, Louise V. ;

Yard, Elaine ;

Sibanda, Thabani ;

Whitelaw, Andrew .

OBSTETRICS AND GYNECOLOGY, 2008, 112 (01) :14-20

[7] Hospital, simulation center, and teamwork training for eclampsia management - A randomized controlled trial [J].

Ellis, Denise ;

Crofts, Joanna F. ;

Hunt, Linda P. ;

Read, Mike ;

Fox, Robert ;

James, Mark .

OBSTETRICS AND GYNECOLOGY, 2008, 111 (03) :723-731

[8]

*JOINT COMM, 2004, SENTINEL EVENT 0721

[9] Recurrent obstetric management mistakes identified by simulation [J].

Maslovitz, Sharon ;

Barkai, Gad ;

Lessing, Joseph B. ;

Ziv, Amitai ;

Many, Ariel .

OBSTETRICS AND GYNECOLOGY, 2007, 109 (06) :1295-1300

[10]

Pratt SD, 2007, JT COMM J QUAL PATIE, V33, P720

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