TY - JOUR
T1 - Improved performance of maternal-fetal medicine staff after maternal cardiac arrest simulation-based training
AU - Fisher, Nelli
AU - Eisen, Lewis A.
AU - Bayya, Jyothshna V.
AU - Dulu, Alina
AU - Bernstein, Peter S.
AU - Merkatz, Irwin R.
AU - Goffman, Dena
PY - 2011/9
Y1 - 2011/9
N2 - Objective: To determine the impact of simulation-based maternal cardiac arrest training on performance, knowledge, and confidence among Maternal-Fetal Medicine staff. Study Design: Maternal-Fetal Medicine staff (n = 19) participated in a maternal arrest simulation program. Based on evaluation of performance during initial simulations, an intervention was designed including: basic life support course, advanced cardiac life suppport pregnancy modification lecture, and simulation practice. Postintervention evaluative simulations were performed. All simulations included a knowledge test, confidence survey, and debriefing. A checklist with 9 pregnancy modification (maternal) and 16 critical care (25 total) tasks was used for scoring. Results: Postintervention scores reflected statistically significant improvement. Maternal-Fetal Medicine staff demonstrated statistically significant improvement in timely initiation of cardiopulmonary resuscitation (120 vs 32 seconds, P =.042) and cesarean delivery (240 vs 159 seconds, P =.017). Conclusion: Prompt cardiopulmonary resuscitation initiation and pregnancy modifications application are critical in maternal and fetal survival during cardiac arrest. Simulation is a useful tool for Maternal-Fetal Medicine staff to improve skills, knowledge, and confidence in the management of this catastrophic event.
AB - Objective: To determine the impact of simulation-based maternal cardiac arrest training on performance, knowledge, and confidence among Maternal-Fetal Medicine staff. Study Design: Maternal-Fetal Medicine staff (n = 19) participated in a maternal arrest simulation program. Based on evaluation of performance during initial simulations, an intervention was designed including: basic life support course, advanced cardiac life suppport pregnancy modification lecture, and simulation practice. Postintervention evaluative simulations were performed. All simulations included a knowledge test, confidence survey, and debriefing. A checklist with 9 pregnancy modification (maternal) and 16 critical care (25 total) tasks was used for scoring. Results: Postintervention scores reflected statistically significant improvement. Maternal-Fetal Medicine staff demonstrated statistically significant improvement in timely initiation of cardiopulmonary resuscitation (120 vs 32 seconds, P =.042) and cesarean delivery (240 vs 159 seconds, P =.017). Conclusion: Prompt cardiopulmonary resuscitation initiation and pregnancy modifications application are critical in maternal and fetal survival during cardiac arrest. Simulation is a useful tool for Maternal-Fetal Medicine staff to improve skills, knowledge, and confidence in the management of this catastrophic event.
KW - maternal cardiac arrest
KW - obstetric simulation training
KW - simulation education
UR - http://www.scopus.com/inward/record.url?scp=80052212778&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=80052212778&partnerID=8YFLogxK
U2 - 10.1016/j.ajog.2011.06.012
DO - 10.1016/j.ajog.2011.06.012
M3 - Article
C2 - 22071051
AN - SCOPUS:80052212778
SN - 0002-9378
VL - 205
SP - 239.e1-239.e5
JO - American journal of obstetrics and gynecology
JF - American journal of obstetrics and gynecology
IS - 3
ER -