Jennifer Mitzman, Sheryl Pfeil, Saurabh Rahurkar, Pallavi Jonnalagadda, Lindsey N Sova, Megan E Gregory, Nicole McGarity, James Read, Allison Stevens, Rashelle Ghanem, Scott Winfield, Cynthia Shellhaas
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引用次数: 0
Abstract
Background: Between 2008-2016, 23% of pregnancy-related deaths in Ohio occurred in an emergency department (ED) or outpatient setting. Prior research showed 98% of Ohio's delivery hospitals conduct obstetric (OB) emergency simulations, while only 30% include ED staff. The goal of the grant was to increase knowledge, skill, and self-efficacy of emergency medicine (EM) professionals in managing OB emergencies. In addition to EM professionals, there was high interest by obstetrics and gynecology (OB/GYN) and other professionals in the course. Therefore, the goal of the project was to increase these elements for all professionals including EM and non-EM professionals in managing OB emergencies.
Methods: Twelve virtual training courses using simulated patient encounters and video-based skills training were conducted across Ohio on the management of OB emergencies. Scenarios focused on common causes of pregnancy-related death using data from the Ohio Pregnancy-Associated Mortality Review (PAMR) committee. Pre- and post-tests assessed training effectiveness.
Results: Between August 1, 2020, and June 30, 2023, 258 learners completed the course. Most were female (76.76%), White (90.61%), and under 45 years old (69.40%). Most (66.49%) were from EM, followed by OB/GYN (18.09%), and other specialties (15.43%) including family medicine and Pediatric EM. Most worked in hospital settings (89.19%). Learners reported a median 10.00 (IQR 15.00) years in clinical practice. Overall, mean knowledge scores increased by 0.81 (95% CI 0.62, 1.01), after the course (p<0.001). Mean knowledge scores increased by 0.90 (95% CI 0.64, 1.16; p<0.001), 0.67 (95% CI 0.24, 1.09; p=0.003), and 0.60 (95% CI 0.16, 1.04; p=0.01) for those from EM, OB/GYN, and other specialties, respectively. Median scores for reported self-efficacy increased by 24.00 (IQR 22.33) and self-reported skills increased by 30.42 (IQR 22.83) points (p<0.001).
Conclusion: Virtual simulations can be effective in improving EM, OB, and other professionals' knowledge, self-efficacy, and self-reported skills in managing OB emergencies.
期刊介绍:
The American Journal of Perinatology is an international, peer-reviewed, and indexed journal publishing 14 issues a year dealing with original research and topical reviews. It is the definitive forum for specialists in obstetrics, neonatology, perinatology, and maternal/fetal medicine, with emphasis on bridging the different fields.
The focus is primarily on clinical and translational research, clinical and technical advances in diagnosis, monitoring, and treatment as well as evidence-based reviews. Topics of interest include epidemiology, diagnosis, prevention, and management of maternal, fetal, and neonatal diseases. Manuscripts on new technology, NICU set-ups, and nursing topics are published to provide a broad survey of important issues in this field.
All articles undergo rigorous peer review, with web-based submission, expedited turn-around, and availability of electronic publication.
The American Journal of Perinatology is accompanied by AJP Reports - an Open Access journal for case reports in neonatology and maternal/fetal medicine.