Evaluation of a simulation-based curriculum for implementing a new clinical protocol.
OBJECTIVE
To evaluate the implementation of a new clinical protocol utilizing on-unit simulation for team training.


METHODS
A prospective observational study was performed at the obstetrics unit of Von Voightlander Women's Hospital, Michigan, USA, between October 1, 2012 to April 30, 2013. All members of the labor and delivery team were eligible for participation. Traditional education methods and in-situ multi-disciplinary simulations were used to educate labor and delivery staff. Following each simulation, participants responded to a survey regarding their experience. To evaluate the effect of the interventions, paging content was analyzed for mandated elements and adherence to operating room entry-time tracking was examined.


RESULTS
In total, 51 unique individuals participated in 12 simulations during a 6-month period. Simulation was perceived as a valuable activity and paging content improved. Following the intervention, the inclusion of a goal time for reaching the operation room increased from 7% to 61% of pages and the proportion of patients entering to operating room within 10 minutes of the stated goal increased from 67% to 85%.


CONCLUSIONS
The training program was well received, and the accuracy of the communication and the goal set for reaching the operating room improved.
University of Michigan Medical School, Ann Arbor, Michigan, USA. Electronic address: damarz@med.umich.edu.
David
D
Marzano
University of Michigan Medical School, Ann Arbor, Michigan, USA.
Roger
R
Smith
University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Jill M
JM
Mhyre
University of Michigan Medical School, Ann Arbor, Michigan, USA.
F Jacob
FJ
Seagull
University of Michigan Medical School, Ann Arbor, Michigan, USA.
Diana
D
Curran
University of Michigan Medical School, Ann Arbor, Michigan, USA.
Sydney
S
Behrmann
University of Michigan Medical School, Ann Arbor, Michigan, USA.
Kristina
K
Priessnitz
University of Michigan Medical School, Ann Arbor, Michigan, USA.
Maya
M
Hammoud
D002585:Cesarean Section; D002985:Clinical Protocols; D003142:Communication; D003479:Curriculum; D005260:Female; D006801:Humans; D008824:Michigan; D009774:Obstetrics / Q000193:education*; D009873:Operating Rooms; D010348:Patient Care Team / Q000592:standards*; D011247:Pregnancy; D011446:Prospective Studies; D000066908:Simulation Training / Q000379:methods*
Cesarean delivery urgency classification; Obstetrics; Protocol implementation; Simulation