Simple Simulation Solutions for High-Impact Results

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Two sample scenarios available through the AHRQ Safety Program for Perinatal Care can be used to train teams on key perinatal safety elements related to obstetric hemorrhage. Antepartum Hemorrhage Simulation Assessment Tool (Optional) This tool provides a list of expected behaviors in response to the Clinical Context and each set of Triggers and Distractors in the simulation and can be used as a tool in evaluating the performance of the simulation participants. Trigger 1: Vaginal Bleeding First Noted Obstetric Hemorrhage. Obstetric Hemorrhage Bundle Slide set. Risk Assessment Table: Prenatal & Antepartum. Risk Assessment Table: Labor & Delivery Admission and Simulation is a situation or environment created to allow persons to experience a representation of a real event for practice, learning, evaluation, and/or to gain understanding of systems or human actions.

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This percentage gradually decreased, while the percent of hospitals who were assessing 75 to 100 percent of women upon admission increased The Illinois Obstetric Hemorrhage Project was successful in improving knowledge of obstetric hemorrhage in a large number of providers with different expertise and experience levels. Further long-term study is essential to determine whether the skills acquired during the Project contribute to improv … • Dovetail the in situ simulations with other quality improvement projects in the OB-GYN department • OB Hemorrhage project- starting in fall of 2016 • Incorporate OB quality and patient safety metrics • Increase OB staff faculty comfort with facilitation of simulation Plan for spread OB simulation training program designed to advance physician and OB team performance and improve patient outcomes in postpartum hemorrhage situations. The program includes a fully-functioning, high-fidelity mannequin that recreates a real-life postpartum hemorrhage event. The mannequin utilizes a simulated blood product and Discussion: Postabortal hemorrhage and sepsis simulations increased OB/GYN residents' knowledge, comfort, and preparedness for managing rare complications of first-trimester abortions. In-vivo simulation and interdepartmental collaboration were novel aspects of these simulations that may facilitate increased preparedness and management skills. Mar 1, 2017 ABSTRACT. Background: Postpartum hemorrhage is a common obstetric emergency affecting 3 to 5% of deliveries, with significant maternal  A postpartum hemorrhage (PPH) can be fatal.

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New Grad enters and patient states, “I’m so tir ed. I just felt a gush down there”.

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OB nurse reported fundus firm, at midline, one finger above umbilicus. Patient’s peripad was changed 10 minutes ago with moderate amount of rubra lochia. New Grad enters and patient states, “I’m so tir ed. I just felt a gush down there”. This course supports implementation of the Florida Perinatal Quality Collaborative Obstetric Hemorrhage Initiative (OHI).

Simulation in a Center vs. In Situ: Remote Simulation Center/Room. Advantages – More realistic than a tabletop simulation but does not take up space on the patient care unit, manikin does not have to be moved. Disadvantages – May not accurately reflect physical set up of the unit, may be difficult to get all staff to the simulation.
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Submitted as Partial Fulfillment for the Doctor of Nursing Practice  The Postpartum Hemorrhage In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and  and Patient Simulation Center, UNC, discusses how to think about conducting simulations at the PQCNC Obstetric Hemorrhage Simulation Learning Session. Postpartum hemorrhage (PPH) is an obstetrical emergency that can follow vaginal or cesarean simulation of a vaginal delivery and post partum hemorrhage. Obstetrical Hemorrhage Orders. Developing Simulation Drills.
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