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- W2322248009 abstract "BACKGROUND: Postpartum hemorrhage is a common and potentially life-threatening obstetric emergency. We sought to create a realistic simulator to for residents and validate a standardized grading form to improve and evaluate competency in the management of postpartum hemorrhage. METHODS: Residents from three programs underwent training with a postpartum hemorrhage simulation which utilized a standard obstetric birthing model equipped with an inflatable uterus to simulate uterine anatomy that was able to bleed from the model’s cervical os and out of the vagina. All simulations were graded by at least two different staff physicians with a standardized grading sheet constructed from the current literature on the topic. Residents were expected to recognize the hemorrhage and take appropriate steps, including asking the assistant to administer medications, to correct the problem. The scenario ended when the residents administered two medications correctly and performed uterine massage or after 5 minutes. Residents were then given immediate feedback on their performance. Objective and subjective performance was measured with standardized grading sheets and these results were then placed into a database and analyzed for reliability using Cronbach’s alpha. This project was conducted in accordance with the hospital IRB policies at each institution. RESULTS: Residents from three institutions underwent simulation training. The majority were able to correct the hemorrhage within 5 minutes but more than half also made at least one error, either the dose or route, in the medications they requested. Reliability was evaluated with Cronbach’s alpha and demonstrated that the subjective grading sheet was valid for the simulation. CONCLUSIONS: A simulated postpartum hemorrhage scenario can identify important deficiencies in resident knowledge and performance with no risk to patients. The standardized grading form worked well for the purpose of evaluation and was reliable in our study. Further testing is needed to evaluate if the training improves performance in real life hemorrhages. Because of our findings we are incorporating this training into our simulation curriculum at Madigan Army Medical Center and will continue to monitor resident performance and progress for this obstetric emergency." @default.
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- W2322248009 date "2007-01-01" @default.
- W2322248009 modified "2023-09-27" @default.
- W2322248009 title "Validation and Testing of A Postpartum Hemorrhage Simulator." @default.
- W2322248009 doi "https://doi.org/10.1097/01266021-200700210-00077" @default.
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