title: PRONTO training for obstetric and neonatal emergencies in Mexico.
abstract: OBJECTIVE
  To evaluate the acceptability, feasibility, rating, and potential impact of PRONTO, a low-tech and high-fidelity simulation-based training for obstetric and neonatal emergencies and teamwork using the PartoPants low-cost birth simulator.
  
  
  METHODS
  A pilot project was conducted from September 21, 2009, to April 9, 2010, to train interprofessional teams from 5 community hospitals in the states of Mexico and Chiapas. Module I (teamwork, neonatal resuscitation, and obstetric hemorrhage) was followed 3 months later by module II (dystocia and pre-eclampsia/eclampsia) and an evaluation. Four elements were assessed: acceptability; feasibility and rating; institutional goal achievement; teamwork improvement; and knowledge and self-efficacy.
  
  
  RESULTS
  The program was rated highly both by trainees and by non-trainees who completed a survey and interview. Hospital goals identified by participants in the module I strategic-planning sessions were achieved for 65% of goals in 3 months. Teamwork, knowledge, and self-efficacy scores improved.
  
  
  CONCLUSIONS
  PRONTO brings simulation training to low-resource settings and can empower interprofessional teams to respond more effectively within their institutional limitations to emergencies involving women and newborns. Further study is warranted to evaluate the potential impact of the program on obstetric and neonatal outcome.
authors: Department of Global Health, University of Washington, Seattle, USA. dilys@u.washington.edu
authors: Dilys M
authors: DM
authors: Walker
authors: Susanna R
authors: SR
authors: Cohen
authors: Fatima
authors: F
authors: Estrada
authors: Marcia E
authors: ME
authors: Monterroso
authors: Alisa
authors: A
authors: Jenny
authors: Jimena
authors: J
authors: Fritz
authors: Jenifer O
authors: JO
authors: Fahey
mesh_terms: D002662:Child Health Services; D003198:Computer Simulation; D004636:Emergency Service, Hospital / Q000458:organization & administration* / Q000592:standards; D005240:Feasibility Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006764:Hospitals, Community; D006801:Humans; D007231:Infant, Newborn; D008800:Mexico; D009774:Obstetrics / Q000193:education* / Q000458:organization & administration; D010348:Patient Care Team / Q000458:organization & administration / Q000592:standards; D010865:Pilot Projects; D011247:Pregnancy; D020377:Self Efficacy