InSitu Obstetric Simulation Program for Postpartum Hemorrhage Slide

In-Situ Obstetric Simulation Program for Postpartum Hemorrhage Slide 1

Summary • Postpartum hemorrhage care requires a multidisciplinary team approach for optimal outcomes • In-Situ simulation can improve teamwork and performance and identify facilities/system issues before patients are negatively affected • The Council on Patient Safety in Women’s Health Care has created a national multidisciplinary program to help hospitals run in-situ postpartum hemorrhage simulations Slide 2

Outline • Why is in-situ simulation needed in Obstetrics? • The Practicing for Patients program • What is needed to implement the program? Slide 3

Why do In-Situ Simulation? • Maternal morbidity and mortality in the United States continue to increase • Teamwork and communication errors are common reasons for poor outcomes and not taught well by lectures • Simulations on the delivery unit can identify facilities and systems issues before they cause problems in real life “An American woman is about five times as likely to die in pregnancy or childbirth as a British woman” - NY Times, July 29, 2017 Slide 4

Current Status • It takes a team to care for patients on labor and delivery • Members of the team are trained differently • The basic concepts of care the same, but the approaches are often different • The team is expected to come together and perform well even if they have not had time to “practice” together Slide 5

In-Situ Obstetric Simulation Training • Allows actual teams to train together and practice clinical skills as well as communication and teamwork • Permits hospitals to practice and refine their protocols • Identifies systems/facilities issues • Tests new wards / protocols Slide 6

Current Challenges with In-Situ Programs • There may not be expertise at the local level to create the simulations • Concerns about cost of simulators and equipment • Potential for interruption of patient care or reluctance of providers to participate • Challenge to keep simulations and recommendations current with changing clinical practice standards Slide 7

Practicing for Patients The Council on Patient Safety in Women’s Health Care has created the Practicing for Patients program in order to provide every hospital the tools they need to implement In-Situ simulation training for Postpartum Hemorrhage Slide 8

Program Components 1. Comprehensive Instruction manual – Preparation and scheduling • Simulator options – Standardized simulation scenarios – Team debriefing and review forms – Video examples of simulations/ debriefing 2. Implementation Training course • Online and in person options available Slide 9

Leadership Support Needed to Implement Practicing for Patients Ø Visible leadership support Ø Funding for simulation equipment Ø Designated point of contact on the labor and delivery unit Ø Buy-in from the labor and delivery care team Slide 10

Summary • Practicing as a team for postpartum hemorrhage is critical to ensure optimal outcomes • The Practicing for Patients program will allow our institution to be ready and keep our patients safe • We appreciate your consideration and ask for your support to implement this program Slide 11