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Licensed Unlicensed Requires Authentication Published by De Gruyter July 27, 2016

Evaluation of simparteam – a needs-orientated team training format for obstetrics and neonatology

  • Alexandra Zech ORCID logo EMAIL logo , Benedict Gross , Céline Jasper-Birzele , Katharina Jeschke , Thomas Kieber , Jörg Lauterberg , Marc Lazarovici , Stephan Prückner , Marcus Rall , Silke Reddersen , Benedikt Sandmeyer , Christoph Scholz , Eric Stricker , Bert Urban , Astrid Zobel and Ingeborg Singer



A standardized team-training program for healthcare professionals in obstetric units was developed based on an analysis of common causes for adverse events found in claims registries. The interdisciplinary and inter-professional training concept included both technical and non-technical skill training. Evaluation of the program was carried out in hospitals with respect to the immediate personal learning of participants and also regarding changes in safety culture.


Trainings in n=7 hospitals including n=270 participants was evaluated using questionnaires. These were administered at four points in time to staff from participating obstetric units: (1) 10 days ahead of the training (n=308), (2) on training day before (n=239), (3) right after training (n=248), and (4) 6 months after (n=188) the intervention. Questionnaires included several questions for technical and non-technical skills and the Hospital Survey on Patient Safety (HSOPS).


Strong effects were found in the participants’ perception of their own competence regarding technical skills and handling of emergencies. Small effects could be observed in the scales of the HSOPS questionnaire. Most effects differed depending on professional groups and hospitals.


Integrated technical and team management training can raise employees’ confidence with complex emergency management skills and processes. Some indications for improvements on the patient safety culture level were detected. Furthermore, differences between professional groups and hospitals were found, indicating the need for more research on contributing factors for patient safety and for the success of crew resource management (CRM) trainings.

  1. Funding: AOK Bundesverband Projekt simparteam – Evaluation der Pilottrainings.


[1] Gaba DM, Howard SK, Fish KJ, Smith BE, Sowb YA. Simulation-based training in anesthesia crisis resource management (ACRM): a decade of experience. Simul Gaming. 2001;32:175–93.10.1177/104687810103200206Search in Google Scholar

[2] Center for Medical Simulation – Simulation Instructor, Clinical, & Leadership Training, Usability Testing. Available at: Accessed 24 February 2015.Search in Google Scholar

[3] Black RS, Brocklehurst P. A systematic review of training in acute obstetric emergencies. Br J Obstet Gynaecol. 2003;110:837–41.10.1111/j.1471-0528.2003.02488.xSearch in Google Scholar

[4] Merién AER, van de Ven J, Mol BW, Houterman S, Oei SG. Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review. Obstet Gynecol. 2010;115:1021–31.10.1097/AOG.0b013e3181d9f4cdSearch in Google Scholar PubMed

[5] Zabari M, Suresh G, Tomlinson M, Lavin JP Jr, Larison K, Halamek L, et al. Implementation and case-study results of potentially better practices for collaboration between obstetrics and neonatology to achieve improved perinatal outcomes. Pediatrics. 2006;118:S153–8.10.1542/peds.2006-0913MSearch in Google Scholar PubMed

[6] Draycott T, Sibanda T, Owen L, Akande V, Winter C, Reading S, et al. Does training in obstetric emergencies improve neonatal outcome? BJOG Int J Obstet Gynaecol. 2006;113:177–82.10.1111/j.1471-0528.2006.00800.xSearch in Google Scholar PubMed

[7] Sorra J, Nieva VF. Hospital Survey on Patient Safety Culture. AHRQ Publication No. 04-0041. Rockville: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services, 2004.Search in Google Scholar

[8] Pfeiffer Y, Manser T. Development of the German version of the Hospital Survey on Patient Safety Culture: Dimensionality and psychometric properties. Saf Sci. 2010;48:1452–62.10.1016/j.ssci.2010.07.002Search in Google Scholar

[9] IBM Corp. IBM SPSS Statistics for Windows, Version 21.0. Armon, NY: IBM Corp, 2012.Search in Google Scholar

[10] R Development Core Team. R: A Language and Environment for Statistical Computing. Wien: R Foundation for Statistical Computing, 2015. in Google Scholar

[11] Monod C, Voekt CA, Gisin M, Gisin S, Hoesli IM. Optimization of competency in obstetrical emergencies: a role for simulation training. Arch Gynecol Obstet. 2014;289:733–8.10.1007/s00404-013-3111-6Search in Google Scholar PubMed PubMed Central

[12] Meurling L, Hedman L, Sandahl C, Felländer-Tsai L, Wallin CJ. Systematic simulation-based team training in a Swedish intensive care unit: a diverse response among critical care professions. BMJ Qual Saf. 2013;22:485–94.10.1136/bmjqs-2012-000994Search in Google Scholar PubMed PubMed Central

[13] Aiken LH, Sermeus W, Van den Heede K, Sloane DM, Busse R, McKee M, et al. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. Br Med J. 2012;344:e171710.1136/bmj.e1717Search in Google Scholar PubMed PubMed Central

  1. The authors stated that there are no conflicts of interest regarding the publication of this article.

Supplemental Material:

The online version of this article (DOI: 10.1515/jpm-2016-0091) offers supplementary material, available to authorized users.

Article note:

This work should be attributed to Institut für Notfallmedizin und Medizinmanagement – INM, Klinikum der Universität München, LMU München, Germany.

Received: 2016-3-11
Accepted: 2016-6-22
Published Online: 2016-7-27
Published in Print: 2017-4-1

©2017 Walter de Gruyter GmbH, Berlin/Boston

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