Volume 119, Issue 11 p. 1387-1393
General obstetrics

Effect of obstetric team training on team performance and medical technical skills: a randomised controlled trial

AF Fransen

AF Fransen

Department of Obstetrics and Gynaecology, Máxima Medical Centre, Veldhoven, The Netherlands

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J van de Ven

J van de Ven

Department of Obstetrics and Gynaecology, Máxima Medical Centre, Veldhoven, The Netherlands

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AER Merién

AER Merién

Department of Obstetrics and Gynaecology, Rijnstate Hospital, Arnhem, The Netherlands

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LD de Wit-Zuurendonk

LD de Wit-Zuurendonk

Department of Obstetrics and Gynaecology, Máxima Medical Centre, Veldhoven, The Netherlands

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S Houterman

S Houterman

MMC Academy, Máxima Medical Centre, Veldhoven, The Netherlands

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BW Mol

BW Mol

Department of Obstetrics and Gynaecology, Máxima Medical Centre, Veldhoven, The Netherlands

Department of Obstetrics and Gynaecology, Academic Medical Centre, Amsterdam, The Netherlands

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SG Oei

SG Oei

Department of Obstetrics and Gynaecology, Máxima Medical Centre, Veldhoven, The Netherlands

Department of Electrotechnical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands

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First published: 13 August 2012
Citations: 111
Drs A Fransen, Department of Obstetrics and Gynaecology, Máxima Medical Centre, PO Box 7777, 5500 MB Veldhoven, The Netherlands. Email [email protected]

Abstract

Please cite this paper as: Fransen A, van de Ven J, Merién A, de Wit-Zuurendonk L, Houterman S, Mol B, Oei S. Effect of obstetric team training on team performance and medical technical skills: a randomised controlled trial. BJOG 2012;119:1387–1393.

Objective To determine whether obstetric team training in a medical simulation centre improves the team performance and utilisation of appropriate medical technical skills of healthcare professionals.

Design Cluster randomised controlled trial.

Setting The Netherlands.

Sample The obstetric departments of 24 Dutch hospitals.

Methods The obstetric departments were randomly assigned to a 1-day session of multiprofessional team training in a medical simulation centre or to no such training. Team training was given with high-fidelity mannequins by an obstetrician and a communication expert. More than 6 months following training, two unannounced simulated scenarios were carried out in the delivery rooms of all 24 obstetric departments. The scenarios, comprising a case of shoulder dystocia and a case of amniotic fluid embolism, were videotaped. The team performance and utilisation of appropriate medical skills were evaluated by two independent experts.

Main outcome measures Team performance evaluated with the validated Clinical Teamwork Scale (CTS) and the employment of two specific obstetric procedures for the two clinical scenarios in the simulation (delivery of the baby with shoulder dystocia in the maternal all-fours position and conducting a perimortem caesarean section within 5 minutes for the scenario of amniotic fluid embolism).

Results Seventy-four obstetric teams from 12 hospitals in the intervention group underwent teamwork training between November 2009 and July 2010. The teamwork performance in the training group was significantly better in comparison to the nontraining group (median CTS score: 7.5 versus 6.0, respectively; P = 0.014). The use of the predefined obstetric procedures for the two clinical scenarios was also significantly more frequent in the training group compared with the nontraining group (83 versus 46%, respectively; P = 0.009).

Conclusions Team performance and medical technical skills may be significantly improved after multiprofessional obstetric team training in a medical simulation centre.