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

Alexandra Zechhttp://orcid.org/0000-0003-2673-1904 1 , Benedict Gross 2 , Céline Jasper-Birzele 3 , Katharina Jeschke 4 , Thomas Kieber 5 , Jörg Lauterberg 6 , Marc Lazarovici 2 , Stephan Prückner 2 , Marcus Rall 7 , Silke Reddersen 8 , Benedikt Sandmeyer 2 , Christoph Scholz 9 , Eric Stricker 8 , Bert Urban 2 , Astrid Zobel 10 , 11  and Ingeborg Singer 11
  • 1 Institut für Notfallmedizin und Medizinmanagement – INM, Klinikum der Universität München, LMU München, Schillerstr. 53, München 80336, Germany, Tel.: +49-89/4400-57101, Fax: +49-89/4400-57102
  • 2 Institut für Notfallmedizin und Medizinmanagement – INM, Klinikum der Universität München, LMU München, Germany
  • 3 Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Klinikum der Universität München, Germany
  • 4 Deutscher Hebammenverband e.V., Mitglied des Präsidiums, Karlsruhe, Germany
  • 5 Klinik für Anästhesie und Operative Intensivmedizin, Kreiskliniken Esslingen, Germany
  • 6 Institute for Quality and Efficiency in Health Care – IQWiG, Cologne, Germany
  • 7 InPASS – Institute for Patient Safety and Team Training GmbH, Reutlingen, Germany
  • 8 Tüpass – Center for Patient-Safety and Simulation Tübingen, Department of Anesthesiology and Intensive Care Medicine, University Hospital Tübingen, Germany
  • 9 Klinik für Frauenheilkunde und Geburtshilfe, Klinikum der Universität Ulm, Germany
  • 10 Klinik für Psychiatrie und Psychotherapie, Rheinische Friedrich-Wilhelms-Universität Bonn, Germany
  • 11 Medizinischer Dienst der Krankenversicherung Bayern, Munich, Germany
Alexandra ZechORCID iD: http://orcid.org/0000-0003-2673-1904, 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

Abstract

Introduction:

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.

Methods:

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).

Results:

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.

Conclusions:

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.

    • Supplementary material
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