title: The Effect of Multiprofessional Simulation-Based Obstetric Team Training on Patient-Reported Quality of Care: A Pilot Study.
abstract: BACKGROUND
  This study aimed to explore whether multiprofessional simulation-based obstetric team training improves patient-reported quality of care during pregnancy and childbirth.
  
  
  METHODS
  Multiprofessional teams from a large obstetric collaborative network in the Netherlands were trained in teamwork skills using the principles of crew resource management. Patient-reported quality of care was measured with the validated Pregnancy and Childbirth Questionnaire (PCQ) at 6 weeks postpartum. Before the training, 76 postpartum women (sample I) completed the questionnaire 6 weeks postpartum. Three months after the training, another sample of 68 postpartum women (sample II) completed the questionnaire.
  
  
  RESULTS
  In sample II (after the training), the mean (SD) score of 108.9 (10.9) on the PCQ questionnaire was significantly higher than the score of 103.5 (11.6) in sample I (before training) (t = 2.75, P = 0.007). The effect size of the increase in PCQ total score was 0.5. Moreover, the subscales "personal treatment during pregnancy" and "educational information" showed a significant increase after the team training (P < 0.001). Items with the largest increase in mean scores included communication between health care professionals, clear leadership, involvement in planning, and better provision of information.
  
  
  CONCLUSIONS
  Despite the methodological restrictions of a pilot study, the preliminary results indicate that multiprofessional simulation-based obstetric team training seems to improve patient-reported quality of care. The possibility that this improvement relates to the training is supported by the fact that the items with the largest increase are about the principles of crew resource management, used in the training.
authors.affiliation: From the Department of Obstetrics and Gynecology (S.E.M.T., F.R.B., A.F.F., P.J.R.H., P.S.G.O.), Máxima Medical Center, Veldhoven; Department of Medical and Clinical Psychology (V.J.M.P.), Tilburg University, Tilburg; and Department of Electrical Engineering (S.G.O.), Eindhoven University of Technology, Eindhoven, the Netherlands.
authors.forename: Sophie E M
authors.initials: SE
authors.lastname: Truijens
authors.forename: Franyke R
authors.initials: FR
authors.lastname: Banga
authors.forename: Annemarie F
authors.initials: AF
authors.lastname: Fransen
authors.forename: Victor J M
authors.initials: VJ
authors.lastname: Pop
authors.forename: Pieter J
authors.initials: PJ
authors.lastname: van Runnard Heimel
authors.forename: S Guid
authors.initials: SG
authors.lastname: Oei
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003142:Communication; D003299:Cooperative Behavior; D036861:Delivery, Obstetric / Q000193:education*; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000379:methods; D007400:Interprofessional Relations; D009774:Obstetrics / Q000193:education*; D010348:Patient Care Team / Q000458:organization & administration*; D017060:Patient Satisfaction; D010865:Pilot Projects; D011787:Quality of Health Care / Q000706:statistics & numerical data*; D000066908:Simulation Training / Q000379:methods*; D012959:Socioeconomic Factors