Multidisciplinary team training in a simulation setting for acute obstetric emergencies: A systematic review

A. E R Merién, J. Van De Ven, B. W. Mol, S. Houterman, S. G. Oei

Research output: Contribution to journalArticle

175 Citations (Scopus)

Abstract

Objective: To perform a systematic review of the literature on the effectiveness of multidisciplinary teamwork training in a simulation setting for the reduction of medical adverse outcomes in obstetric emergency situations. DATA SOURCES: We searched Medline, Embase, and the Cochrane Library from inception to June 2009. The search strategy contained medical subject heading terms ("patient care team" and "patient simulation" and "obstetrics" or "gynecology" and "education" or "teaching") and additional text words ("teamwork," "simulation," "training"). METHODS OF STUDY SELECTION: Studies describing and evaluating teamwork training programs with simulation models for labor ward staff in acute obstetric emergencies were selected. The search revealed 97 articles. TABULATION, INTEGRATION, AND Results: All studies were assessed independently by two reviewers for methodological quality using the quality assessment of diagnostic accuracy studies (QUADAS) criteria. Only eight articles assessed the effect of teamwork training in a simulation setting. Four of them were randomized controlled trials and four were cohort studies. The only study that reported on perinatal outcome showed an improvement in terms of 5-minute Apgar score and hypoxic-ischemic encephalopathy. The seven other studies showed that teamwork training in a simulation setting resulted in improvement of knowledge, practical skills, communication, and team performance in acute obstetric situations. Training in a simulation center did not further improve outcome compared with training in a local hospital. Conclusion: Introduction of multidisciplinary teamwork training with integrated acute obstetric training interventions in a simulation setting is potentially effective in the prevention of errors, thus improving patient safety in acute obstetric emergencies. Studies on its effectiveness and cost-effectiveness are needed before team training can be implemented on broad scale.

LanguageEnglish
Pages1021-1031
Number of pages11
JournalObstetrics and gynecology
Volume115
Issue number5
DOIs
Publication statusPublished - May 2010

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Merién, A. E R ; Van De Ven, J. ; Mol, B. W. ; Houterman, S. ; Oei, S. G. / Multidisciplinary team training in a simulation setting for acute obstetric emergencies : A systematic review. In: Obstetrics and gynecology. 2010 ; Vol. 115, No. 5. pp. 1021-1031.
@article{3d406c6738b541fb8f3207cad0e0eb31,
title = "Multidisciplinary team training in a simulation setting for acute obstetric emergencies: A systematic review",
abstract = "Objective: To perform a systematic review of the literature on the effectiveness of multidisciplinary teamwork training in a simulation setting for the reduction of medical adverse outcomes in obstetric emergency situations. DATA SOURCES: We searched Medline, Embase, and the Cochrane Library from inception to June 2009. The search strategy contained medical subject heading terms ({"}patient care team{"} and {"}patient simulation{"} and {"}obstetrics{"} or {"}gynecology{"} and {"}education{"} or {"}teaching{"}) and additional text words ({"}teamwork,{"} {"}simulation,{"} {"}training{"}). METHODS OF STUDY SELECTION: Studies describing and evaluating teamwork training programs with simulation models for labor ward staff in acute obstetric emergencies were selected. The search revealed 97 articles. TABULATION, INTEGRATION, AND Results: All studies were assessed independently by two reviewers for methodological quality using the quality assessment of diagnostic accuracy studies (QUADAS) criteria. Only eight articles assessed the effect of teamwork training in a simulation setting. Four of them were randomized controlled trials and four were cohort studies. The only study that reported on perinatal outcome showed an improvement in terms of 5-minute Apgar score and hypoxic-ischemic encephalopathy. The seven other studies showed that teamwork training in a simulation setting resulted in improvement of knowledge, practical skills, communication, and team performance in acute obstetric situations. Training in a simulation center did not further improve outcome compared with training in a local hospital. Conclusion: Introduction of multidisciplinary teamwork training with integrated acute obstetric training interventions in a simulation setting is potentially effective in the prevention of errors, thus improving patient safety in acute obstetric emergencies. Studies on its effectiveness and cost-effectiveness are needed before team training can be implemented on broad scale.",
author = "Meri{\'e}n, {A. E R} and {Van De Ven}, J. and Mol, {B. W.} and S. Houterman and Oei, {S. G.}",
year = "2010",
month = "5",
doi = "10.1097/AOG.0b013e3181d9f4cd",
language = "English",
volume = "115",
pages = "1021--1031",
journal = "Obstetrics and gynecology",
issn = "0029-7844",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

Multidisciplinary team training in a simulation setting for acute obstetric emergencies : A systematic review. / Merién, A. E R; Van De Ven, J.; Mol, B. W.; Houterman, S.; Oei, S. G.

In: Obstetrics and gynecology, Vol. 115, No. 5, 05.2010, p. 1021-1031.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Multidisciplinary team training in a simulation setting for acute obstetric emergencies

T2 - Obstetrics and gynecology

AU - Merién, A. E R

AU - Van De Ven, J.

AU - Mol, B. W.

AU - Houterman, S.

AU - Oei, S. G.

PY - 2010/5

Y1 - 2010/5

N2 - Objective: To perform a systematic review of the literature on the effectiveness of multidisciplinary teamwork training in a simulation setting for the reduction of medical adverse outcomes in obstetric emergency situations. DATA SOURCES: We searched Medline, Embase, and the Cochrane Library from inception to June 2009. The search strategy contained medical subject heading terms ("patient care team" and "patient simulation" and "obstetrics" or "gynecology" and "education" or "teaching") and additional text words ("teamwork," "simulation," "training"). METHODS OF STUDY SELECTION: Studies describing and evaluating teamwork training programs with simulation models for labor ward staff in acute obstetric emergencies were selected. The search revealed 97 articles. TABULATION, INTEGRATION, AND Results: All studies were assessed independently by two reviewers for methodological quality using the quality assessment of diagnostic accuracy studies (QUADAS) criteria. Only eight articles assessed the effect of teamwork training in a simulation setting. Four of them were randomized controlled trials and four were cohort studies. The only study that reported on perinatal outcome showed an improvement in terms of 5-minute Apgar score and hypoxic-ischemic encephalopathy. The seven other studies showed that teamwork training in a simulation setting resulted in improvement of knowledge, practical skills, communication, and team performance in acute obstetric situations. Training in a simulation center did not further improve outcome compared with training in a local hospital. Conclusion: Introduction of multidisciplinary teamwork training with integrated acute obstetric training interventions in a simulation setting is potentially effective in the prevention of errors, thus improving patient safety in acute obstetric emergencies. Studies on its effectiveness and cost-effectiveness are needed before team training can be implemented on broad scale.

AB - Objective: To perform a systematic review of the literature on the effectiveness of multidisciplinary teamwork training in a simulation setting for the reduction of medical adverse outcomes in obstetric emergency situations. DATA SOURCES: We searched Medline, Embase, and the Cochrane Library from inception to June 2009. The search strategy contained medical subject heading terms ("patient care team" and "patient simulation" and "obstetrics" or "gynecology" and "education" or "teaching") and additional text words ("teamwork," "simulation," "training"). METHODS OF STUDY SELECTION: Studies describing and evaluating teamwork training programs with simulation models for labor ward staff in acute obstetric emergencies were selected. The search revealed 97 articles. TABULATION, INTEGRATION, AND Results: All studies were assessed independently by two reviewers for methodological quality using the quality assessment of diagnostic accuracy studies (QUADAS) criteria. Only eight articles assessed the effect of teamwork training in a simulation setting. Four of them were randomized controlled trials and four were cohort studies. The only study that reported on perinatal outcome showed an improvement in terms of 5-minute Apgar score and hypoxic-ischemic encephalopathy. The seven other studies showed that teamwork training in a simulation setting resulted in improvement of knowledge, practical skills, communication, and team performance in acute obstetric situations. Training in a simulation center did not further improve outcome compared with training in a local hospital. Conclusion: Introduction of multidisciplinary teamwork training with integrated acute obstetric training interventions in a simulation setting is potentially effective in the prevention of errors, thus improving patient safety in acute obstetric emergencies. Studies on its effectiveness and cost-effectiveness are needed before team training can be implemented on broad scale.

UR - http://www.scopus.com/inward/record.url?scp=77951536252&partnerID=8YFLogxK

U2 - 10.1097/AOG.0b013e3181d9f4cd

DO - 10.1097/AOG.0b013e3181d9f4cd

M3 - Article

VL - 115

SP - 1021

EP - 1031

JO - Obstetrics and gynecology

JF - Obstetrics and gynecology

SN - 0029-7844

IS - 5

ER -