title: The state of Illinois obstetric hemorrhage project: pre-project and post-training examination scores.
abstract: OBJECTIVE
  The Illinois Department of Public Health mandated that all clinicians who provide care to obstetric patients participate in the Illinois Obstetric Hemorrhage Project. The aim of the current report is to describe change in knowledge among providers engaged in the project, as assessed by pre- and post-tests.
  
  
  METHODS
  The project, implemented 2008 to 2010, included four components: a written 25-item multiple-choice examination (pre-test), a didactic lecture, skill stations (for teaching blood loss estimation), and a simulation drill and debriefing. Participants completed a post-test 6 months later. Pre- and post-test examination scores were compared.
  
  
  RESULTS
  Data from 95 hospitals are included in this analysis (9456 paired test results). The proportion of participants who scored ≥88% correct answers increased from 10.9% on the pre-test to 49.1% on the post-test (p < 0.0001). Registered nurses made greater improvements in test scores than anesthesia and obstetric providers (p < 0.0001).
  
  
  CONCLUSIONS
  The Illinois Obstetric Hemorrhage Project was successful in improving knowledge of obstetric hemorrhage in a large number of providers with different expertise and experience levels. Further long-term study is essential to determine whether the skills acquired during the Project contribute to improved obstetric hemorrhage outcomes for the women of Illinois.
authors.affiliation: a Department of Anesthesiology , Northwestern University , Chicago , IL , USA .
authors.forename: Cynthia A
authors.initials: CA
authors.lastname: Wong
authors.affiliation: b Department of Obstetrics and Gynecology , University of Illinois at Chicago , Chicago , IL , USA , and.
authors.forename: Shirley
authors.initials: S
authors.lastname: Scott
authors.affiliation: c Department of Obstetrics and Gynecology , Rush University , Chicago , IL , USA.
authors.forename: Robin L
authors.initials: RL
authors.lastname: Jones
authors.affiliation: b Department of Obstetrics and Gynecology , University of Illinois at Chicago , Chicago , IL , USA , and.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Walzer
authors.affiliation: b Department of Obstetrics and Gynecology , University of Illinois at Chicago , Chicago , IL , USA , and.
authors.forename: Stacie
authors.initials: S
authors.lastname: Geller
mesh_terms: D002983:Clinical Competence / Q000592:standards; D004506:Education, Nursing / Q000592:standards / Q000706:statistics & numerical data; D004521:Educational Measurement; D005260:Female; D006282:Health Personnel / Q000193:education* / Q000592:standards / Q000706:statistics & numerical data; D006801:Humans; D007087:Illinois / Q000453:epidemiology; D007231:Infant, Newborn; D007396:Internship and Residency / Q000706:statistics & numerical data; D000068101:Maternal-Child Health Services / Q000458:organization & administration / Q000592:standards; D009774:Obstetrics / Q000193:education* / Q000592:standards / Q000706:statistics & numerical data; D006473:Postpartum Hemorrhage / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D011247:Pregnancy; D018570:Risk Assessment; D000078329:Workforce
keywords: Obstetric hemorrhage; obstetric hemorrhage education; simulation