最近studypublished inObstetrics & Gynecologyrevealed some compelling results for Obstetricians/Gynecologists (OB/GYNs) – but also those working in risk management. The study, “Association of Simulation Training with Rates of Medical Malpractice Claims Among Obstetrician-Gynecologists,” is potentially a game changer. It determined that simulationtraining significantly lowered malpractice claim rates for OB/GYNs。¹

In this article, we provide you with some key takeaways from the study, as well as some of our own content and research related to the topic of maternal outcomes.

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While reduced malpractice claims were used as a measure, the study is ultimately about improving patient outcomes.

The study underscores that in the U.S.,obstetric adverse events are estimated to occur in between 2% and 16% of all deliveries. One analysis found that 40.5% of adverse events could have been prevented.²

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The retrospective study was led by doctors and staff affiliated with four institutions: the Center for Medical Simulation, Brigham and Women’s Hospital, Harvard Medical School, and the CRICO/Risk Management Foundation of the Harvard Medical Institutions.⁷他们看着292年妇产科医生的性能,of whom were covered by the same insurer and all of whom undertook one or more simulation training sessions from 2002 to 2019. The trainings involved low-frequency, high-acuity obstetric scenarios, and focused on teamwork, communication, and organizational culture. Each training was followed immediately by debriefing.

What the study revealed is that simulation training resulted in a nearly 50% decrease in malpractice claim rates.

What the study also revealed is thatattending more than one simulation session was associated with a greater reduction in claim rates。参加三个或更多培训的医生比参加一次培训的医生的仿真索赔率显着降低。

衡量模拟程序的有效性可能是一个挑战。在许多研究中，李克特量表用于衡量参与者认为培训是否有价值或认为他们的技能有所提高，而不是查看对临床结果的影响。¹¹利克特量表会向参与者提供一份声明，并要求他们评分他们同意的程度，使用从“完全同意”到“中性”到“强烈不同意”的价值观。¹²

In this study, malpractice claims substantively take the place of a Likert scale or other measures. The study points out that claim rates are an objective, tangible, indicator of success.主要保险公司Crico监督了索赔数据的收集，以确保公正性和可靠性。

当涉及到对医院底线的影响模拟可以进行的影响时，这项研究表明了模拟如何获得回报。

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The authors of the study affirmed what experts have known for some time:the skills gained during the simulation trainings – namely, effective teamwork during high-acuity situations – helped promote safer care, leading to fewer adverse outcomes that could potentially become malpractice claims later.¹³

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