title: Evaluation of simparteam - a needs-orientated team training format for obstetrics and neonatology.
abstract: BACKGROUND
  A standardized team-training program for healthcare professionals in obstetric units was developed based on an analysis of common causes for adverse events found in claims registries. The interdisciplinary and inter-professional training concept included both technical and non-technical skill training. Evaluation of the program was carried out in hospitals with respect to the immediate personal learning of participants and also regarding changes in safety culture.
  
  
  METHODS
  Trainings in n=7 hospitals including n=270 participants was evaluated using questionnaires. These were administered at four points in time to staff from participating obstetric units: (1) 10 days ahead of the training (n=308), (2) on training day before (n=239), (3) right after training (n=248), and (4) 6 months after (n=188) the intervention. Questionnaires included several questions for technical and non-technical skills and the Hospital Survey on Patient Safety (HSOPS).
  
  
  RESULTS
  Strong effects were found in the participants' perception of their own competence regarding technical skills and handling of emergencies. Small effects could be observed in the scales of the HSOPS questionnaire. Most effects differed depending on professional groups and hospitals.
  
  
  CONCLUSIONS
  Integrated technical and team management training can raise employees' confidence with complex emergency management skills and processes. Some indications for improvements on the patient safety culture level were detected. Furthermore, differences between professional groups and hospitals were found, indicating the need for more research on contributing factors for patient safety and for the success of crew resource management (CRM) trainings.
authors.affiliation: Institut für Notfallmedizin und Medizinmanagement - INM, Klinikum der Universität München, LMU München, Schillerstr. 53, München 80336.
authors.forename: Alexandra
authors.identifier: http://orcid.org/0000-0003-2673-1904
authors.initials: A
authors.lastname: Zech
authors.affiliation: Institut für Notfallmedizin und Medizinmanagement - INM, Klinikum der Universität München, LMU München.
authors.forename: Benedict
authors.initials: B
authors.lastname: Gross
authors.affiliation: Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Klinikum der Universität München.
authors.forename: Céline
authors.initials: C
authors.lastname: Jasper-Birzele
authors.affiliation: Deutscher Hebammenverband e.V., Mitglied des Präsidiums, Karlsruhe.
authors.forename: Katharina
authors.initials: K
authors.lastname: Jeschke
authors.affiliation: Klinik für Anästhesie und Operative Intensivmedizin, Kreiskliniken Esslingen.
authors.forename: Thomas
authors.initials: T
authors.lastname: Kieber
authors.affiliation: Institute for Quality and Efficiency in Health Care - IQWiG, Cologne.
authors.forename: Jörg
authors.initials: J
authors.lastname: Lauterberg
authors.affiliation: Institut für Notfallmedizin und Medizinmanagement - INM, Klinikum der Universität München, LMU München.
authors.forename: Marc
authors.initials: M
authors.lastname: Lazarovici
authors.affiliation: Institut für Notfallmedizin und Medizinmanagement - INM, Klinikum der Universität München, LMU München.
authors.forename: Stephan
authors.initials: S
authors.lastname: Prückner
authors.affiliation: InPASS - Institute for Patient Safety and Team Training GmbH, Reutlingen.
authors.forename: Marcus
authors.initials: M
authors.lastname: Rall
authors.affiliation: Tüpass - Center for Patient-Safety and Simulation Tübingen, Department of Anesthesiology and Intensive Care Medicine, University Hospital Tübingen.
authors.forename: Silke
authors.initials: S
authors.lastname: Reddersen
authors.affiliation: Institut für Notfallmedizin und Medizinmanagement - INM, Klinikum der Universität München, LMU München.
authors.forename: Benedikt
authors.initials: B
authors.lastname: Sandmeyer
authors.affiliation: Klinik für Frauenheilkunde und Geburtshilfe, Klinikum der Universität Ulm.
authors.forename: Christoph
authors.initials: C
authors.lastname: Scholz
authors.affiliation: Tüpass - Center for Patient-Safety and Simulation Tübingen, Department of Anesthesiology and Intensive Care Medicine, University Hospital Tübingen.
authors.forename: Eric
authors.initials: E
authors.lastname: Stricker
authors.affiliation: Institut für Notfallmedizin und Medizinmanagement - INM, Klinikum der Universität München, LMU München.
authors.forename: Bert
authors.initials: B
authors.lastname: Urban
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Rheinische Friedrich-Wilhelms-Universität Bonn.
authors.forename: Astrid
authors.initials: A
authors.lastname: Zobel
authors.affiliation: Medizinischer Dienst der Krankenversicherung Bayern, Munich.
authors.forename: Ingeborg
authors.initials: I
authors.lastname: Singer
mesh_terms: D000328:Adult; D003198:Computer Simulation; D003194:Computer-Assisted Instruction / Q000379:methods*; D004502:Education, Medical, Continuing / Q000379:methods*; D005260:Female; D005858:Germany; D006771:Hospitals, Maternity; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D009359:Neonatology / Q000193:education*; D009774:Obstetrics / Q000193:education*; D010348:Patient Care Team; D061214:Patient Safety; D011247:Pregnancy; D011795:Surveys and Questionnaires
keywords: Crew resource management; medical education; neonatology; nurses; obstetrics; patient safety