How to reach rural communities with obstetric simulation training
客户故事
圣安东尼奥大学医院
美国德克萨斯州
关于
圣安东尼奥大学医院is a leading teaching hospital. The Perinatal Outreach Program supports community hospitals in the surrounding area of South Texas with multidisciplinary simulation training.
挑战
Training for childbirth emergencies
In recent years, there has been an increase in Maternal Mortality Rates in the United States. Texas is one of the states with cause for concern, with 18.5 deaths per 100,000 live births.
无论母亲所在的何处，都可以进入质量，以患者为中心的医疗保健，对于快速认识和治疗分娩紧急情况至关重要。
"MamaBirthie has been absolutely perfect for our program, particularly the shoulder dystocia component."
解决方案
使模拟简单易于访问
To train healthcare providers in rural community hospitals across South and Central Texas, the team at the University Hospital in San Antonio started a simulation outreach program. The Perinatal Outreach Program was developed to improve the quality and standardization of care, to practice skills in management of shoulder dystocia, PPH and pre-eclampsia, and to improve teamwork and communication. However, the solution needed had to be easy to use, easily portable, and cost effective.
你可知道？
Shoulder dystocia happens in about 1 in every 200 births. It is often neither preventable nor predictable. It can deprive the baby of oxygen, leading to brain damage or death and can cause injuries including fractures of the baby's arm or shoulder or damage to the nerves resulting in a brachial plexus injury. Shoulder dystocia can also lead to complications for the mother, including tears or hemorrhage, so it is important that maternity teams can identify and manage it quickly and efficiently.
技能和现实主义的完美结合
The goal was to create a highly realistic experience, at the same time, provide the opportunity to learn on an ongoing basis as the simulation progressed. UsingMamaBirthie与标准化的患者一起培训技能，使模拟觉得现实是该计划不可或缺的一部分。
Keep the simulation simple with MamaBirthie and a standardized patient and practice the process, and your participants will get a lot out of it.
因为标准化病人可以唠叨symptoms they are experiencing, they are useful for gathering patient history and diagnosing symptoms. By using body language to convey information, healthcare professionals are required to be highly observant and hone their communication skills. In addition, this combined approach of using MamaBirthie with a standardized patient, enabled the patient to be moved into different positions to practice specialized maneuvers to manipulate the position of the baby such as McRoberts and Gaskin techniques.
Rapid Cycle Deliberate Practice – the methodology is the glue
该计划的另一个重要部分是使用快速周期故意实践（RCDP）。这是一种在CPR培训领域众所周知的模拟策略。仿真团队为参与者提供了有关场景以及执行演习之前的期望的说明。在演习期间，参与者的协助者会在出现问题时立即进行汇报，然后重新开始。重复此过程，直到参与者可以完美地执行钻头。
"We have this opportunity where the participants get a chance to practice, to try again and ultimately to do it 100% correctly, and I think that gets hard-wired."
The Results
参与导致授权
尽管该程序仍在进行中，但初始结果是积极的。正在积累数据以衡量结果，但是某些定性元素是直接的。参与者发现该计划令人难以置信的吸引力和现实，尤其是与Mamabirthie一起使用标准的患者演员。RCDP方法论的反馈也非常积极，参与者享受这样一个事实，即他们一次又一次地尝试直到正确。
There’s just this moment in there where they suddenly become completely engaged and when you get to the debriefing point you really see them being able to say they know what to do and they truly feel empowered and prepared.
Looking forward
帮助农村社区训练自己
Using a mobile, accessible, cost effective low-fidelity simulator like MamaBirthie together with a standardized patient and applying the RCDP methodology, enables simulation to be adaptable and available to all healthcare providers, wherever they are.
我的梦想是让农村医院拥有自己的产科模拟计划。
Key Takeaways
Practice makes perfect
RCDP method of learning enables participants to practice over and over
创造一个现实的环境
标准化患者增加现实主义和参与度
选择正确的工具
Mamabirthie满足了对教育方法的需求，并与标准化患者一起使用
观看完整的视频
Thanks to the team at University Hospital in San Antonio for sharing their story
Mamabirthie是一位分娩模拟器和技能培训师，非常适合练习分娩操作和交付...
Mamabirthie是一位分娩模拟器和技能培训师，非常适合练习分娩动作和提供尊重的产妇护理。学到更多。
Get the best out of your simulation by combining SimMom and MamaBirthie. Put together in one impactful simulation...
Get the best out of your simulation by combining SimMom and MamaBirthie. Put together in one impactful simulation toolkit, this solution can be used at different stages of the Circle of Learning to support a complete learning experience....