title: Interdisciplinary team training identifies discrepancies in institutional policies and practices.
abstract: 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.
authors: Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA.
authors: Pamela
authors: P
authors: Andreatta
authors: Jennifer
authors: J
authors: Frankel
authors: Sara
authors: S
authors: Boblick Smith
authors: Alexandra
authors: A
authors: Bullough
authors: David
authors: D
authors: Marzano
mesh_terms: D004630:Emergencies; D005260:Female; D006801:Humans; D009774:Obstetrics / Q000193:education; D016134:Organizational Policy; D010346:Patient Care Management / Q000592:standards; D010348:Patient Care Team; D011247:Pregnancy; D011248:Pregnancy Complications