How to reach rural communities with obstetric simulation training
客户故事
客户故事
德克萨斯州,美国
挑战
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.
在母亲所在的地方获得质量,患者中心的医疗保健对于快速识别和治疗分娩紧急情况至关重要。
解决方案
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.
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.
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要与标准化患者一起培训技能,以使模拟感觉现实是该计划的一个组成部分。
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.
该计划的另一部分是使用快速周期的故意实践(RCDP)。这是在CPR培训世界中众所周知的模拟策略。模拟团队为参与者提供有关场景的说明以及在执行钻取之前预期的内容。在钻子期间,当某些事情出现问题时,他们的促进者将被他们的促进者暂停,然后他们重新开始。该过程重复,直到参与者能够完美地执行钻孔。
The Results
虽然该计划仍在进行中,初始结果是积极的。数据正在累积以测量结果,但一些定性元素已立即。与会者已经发现该计划令人难以置信地吸引和现实,特别是在与Mamabirkie一起使用标准化的患者演员。关于RCDP方法的反馈也非常积极,参与者享有他们再次尝试的事实,直到他们正确地尝试。
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
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.
我的梦想是有农村医院拥有自己的产科模拟方案。
RCDP method of learning enables participants to practice over and over
标准化患者增加了现实主义和参与
Mamabirkie符合教育方法和与标准化患者的使用
