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Novel Simulation Workshop Improves Performance in Vacuum Delivery

Open Journal of Obstetrics and Gynecology 2016年第8期6卷 439-444页

作者： Katrina Calvert Mathias Epee anne karzcub Cliff Neppe Michael Allen Wendy Hughes Paul McGurgan Richard King Alexander Maouris Dorota Doherty Panos Maouris King Edward Memorial Hospital Perth Australia Joondalup Health Campus Joondalup Australia St John of God Hospital Subiaco Perth Australia Broome Hospital Broome Australia School of Women’s and Infants’ Health University of Western Australia Crawley Australia Bond University Queensland Australia

Background: Operative vaginal delivery is a common obstetric intervention, with the potential to cause harm to mother and baby. Training in operative delivery traditionally comprised junior trainees learning the skills under supervision, then practicing and refining them independently. Recently this model has come under scrutiny, with the advent of simulation-based training suggesting a method by which the skills of safe delivery may be taught without risk. Multiple training courses exist, but few have been subjected to evaluation. Aims: The primary aim was to investigate if a simulation-based training workshop, where the development of a successful technique for vacuum delivery occurs using a collaborative, problem-solving approach, improves the rate of correct vacuum cup placement. The secondary aim was to determine if the workshop leads to improvement in theoretical knowledge of vacuum delivery. Methods: Participants on three workshops were assessed for their performance in vacuum delivery prior to and following a multimodal training program. Participants included general practitioner obstetricians, obstetric trainees and resident medical officers. Evaluation occurred using a standardised Likert-scaled rating sheet and utilising a diagrammatic representation of cup placement. Results: The participants demonstrated significant improvement (median post-pre score 1, p in the accuracy of cup placement, in a variety of practical core skills and in theoretical knowledge of vacuum delivery. Discussion: Participation in a simulation-based vacuum delivery workshop improves the performance of obstetric trainees and GP obstetricians. Further work is required to evaluate the performance of such training modalities on clinically relevant outcomes.

关键词： Vacuum Delivery Simulation Training Patient Safety

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