如何通过产科模拟培训到达农村社区
Customer Story
Customer Story
Texas, USA
The Challenge
近年来,美国的孕产妇死亡率有所提高。得克萨斯州是有关注的州之一,每100,000例活产死亡18.5人死亡。
Access to quality, patient-centered healthcare wherever the mother is located is vital for quick recognition and treatment of childbirth emergencies.
The Solution
为了培训南部和德克萨斯州中部农村社区医院的医疗保健提供者,圣安东尼奥大学医院的团队开始了模拟外展计划。制定了围产期外展计划,以提高护理的质量和标准化,以练习肩膀难干,PPH和先兆子痫的管理技能,并改善团队合作和沟通。但是,所需的解决方案必须易于使用,易于便携和具有成本效益。
肩膀不形成症发生在每200个分娩中大约有1次。它通常既无法预防也无法预测。它可以剥夺婴儿的氧气,导致脑部损伤或死亡,并造成伤害,包括婴儿手臂或肩膀的骨折或对神经的损伤,导致臂丛神经损伤。肩膀的不良症也可能导致母亲的并发症,包括泪水或出血,因此,重要的是,孕妇团队可以快速有效地识别和管理它。
目的是同时创造一种高度现实的体验,为随着模拟的进行而提供了不断学习的机会。使用Mamabirthieto train for skills together with a standardized patient to make the simulation feel realistic was an integral part of the program.
与Mamabirthie和标准化的患者保持简单的模拟,并练习该过程,您的参与者将从中得到很多。
由于标准化患者可以口头表达他们所经历的症状,因此他们有助于收集患者病史和诊断症状。通过使用肢体语言传达信息,必须高度观察医疗保健专业人员并磨练他们的沟通技巧。此外,这种将Mamabirthie与标准化患者一起使用的合并方法使患者能够移至不同的位置,以练习专门的操纵,以操纵婴儿的位置,例如McRoberts和Gaskin技术。
Another essential part of the program was the use of Rapid Cycle Deliberate Practice (RCDP). This is a simulation strategy well-known in the world of CPR training. The simulation team provides the participants with instructions about the scenario and what to expect prior to executing the drill. During the drill, the participants are paused by their facilitators for an immediate debrief when something goes wrong, and then they start over again. This process is repeated until the participants can perform the drill perfectly.
结果
While the program is still in progress, initial results are positive. Data is being accumulated to measure outcomes, but some of the qualitative elements have been immediate. Participants have found the program incredibly engaging and realistic, especially with the use of a standardiazed patient actor together with MamaBirthie. Feedback on the RCDP methodology is also extremely positive, with participants enjoying the fact that they get to try again and again until they get it right.
在那一刻,他们突然变得完全参与其中,当您到达汇报点时,您确实看到他们能够说他们知道该怎么做,并且真正感到有能力和准备。
期待
使用移动性,可访问,具有成本效益的低保真模拟器,例如Mamabirthie以及标准化的患者并应用RCDP方法,使模拟能够适应能够适应,无论他们身在何处,所有医疗保健提供者都可以使用。
My dream is to have rural hospitals to have their own programs for obstetric simulations.
RCDP学习方法使参与者能够一遍又一遍地练习
Standardized patient adds realism and engagement
Mamabirthiemeets the need for the education method and use with standardized patient