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Obstetric Simulation Training and Teamwork (OB-STaT) to Reduce Postpartum Hemorrhage


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Postpartum hemorrhage (PPH)complicating 4-6% of all deliveriesremains a leading cause of treatable maternal morbidity and mortality in theUS. PPH safety bundles may provide an opportunity to improve clinical skills and have been associated with improved patient outcomes. Additionally, military obstetric team members are expected to deploy and provide combat casualty care further necessitating the need for effective teamwork. This study aims to determine the impact of the Obstetric Simulation Training and Teamwork (OB-STaT) curriculum on PPH rates and associated clinical markers in continental United States (CONUS) U.S. Navy (USN) military treatment facilities (MTFs). The investigators hypothesize that OB-STaT will: (1) decrease PPH rates; and improve: (2) objective measures of hemorrhage management, (3) perceptions of teamwork, (4) team performance indicators and latent threat detection, and (5)overall patient satisfaction. Methods: This is a prospective cross-over cohort study of CONUS USN MTFs currently providing perinatal care. Baseline 6-monthclinical data of all measures (clinical, team performance, and patient satisfaction) will be collected using medical records and validated questionnaires. Next, each site will be exposed to the OB-STaT curriculum over a 2-5 day period to ensure maximum participation. Each session is 4 hours in duration and begins with baseline knowledge and teamwork evaluation through a pre-test and in-situ simulation. Next, participants complete a multi-disciplinary debrief followed by independent practice on psychomotor skill work stations utilizing task trainers. Finally, a second simulation, debrief and knowledge post-test are administered.



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