The aim of this Executive Leadership Doctorate in Nursing Practice project was to assess the effectiveness of simulation-based training as a strategy to ensure patient safety and quality care by improving the knowledge and confidence of obstetric nursing staff. Collateral goals included the development of a simulation-based interactive training program to improve staff response to obstetric emergencies and the establishment of an Interprofessional Simulation Training Center. The use of simulation-based training is widely accepted ans used in healthcare education. Several benefits of simulation-based training include a learner-centered approach, safe acquisition of technical skills training and development of effective communication skills. Simulation-based training provides healthcare professionals the opportunity to be involved in simulated patient care scenarios without causing harm to actual patients. The labor and delivery unit is one of the vital areas in the hospital where the management of obstetric emergencies of laboring women, neonates, and postpartum mothers is critical and requires expert skills sets. the increasing number of harm events occurring in obstetrics warranted action. With this need identified, the decision was made to implement a simulation-based training program to improve participants' knowledge and confidence in their ability to intervene and manage obstetric emergencies. Project feedback from all participants i the simulation-based training program revealed a favorable climate for division-wide implementation.

Background: In 1997, the Institute of Medicine reported that between 48,000 to 98,000 people die in the US hospital due to preventable medical errors. Additionally, The Joint Commission reported that 65% of medical errors are due to failure in communication. Medical errors have impacted society because patients were harmed, with greater impact on the patient's families. Similarly, medical errors have impacted health care providers due to litigations, loss of status, loss of income, and potential loss of licensure. Simulations emerged as responses to rectify individual, organizational, and systems failures that resulted in patient harm. From ethical standpoint, the use of simulations conveys critical educational message: patients are to be protected whenever possible. They are not commodities to be used as conveniences of training. Simulations focus on improved communications, improved clinician's knowledge and skills in a controlled, risk-free environment. Simulation is an effective tool in promoting a culture that encourages identification of risks to medical errors in a non-punitive, risk-free environment. Foreground: High risk obstetric patients present challenges to the healthcare providers. Obstetric-related claims often represent high severity in terms of both injury and payouts. The average insurance payout ranges from $1.2 to $10 million. Researchers have shown that onsite simulations demonstrated a positive impact on obstetrical patient safety. These obestetric drills resulted in improved quality of care. EBP Framework: Knowledge dissemination was promoted through the use of a communication model, Organizational Information Theory developed by Karl Weick. Johns Hopkins Nursing Evidence-Based Model was used because of its similarity to nursing process in the utilization of a systematic approach. In addition, the model encourages the use of critical thinking in the acquisition of evidence-based knowledge. Methods: The purpose of this capstone project was to demonstrate that simulations in a labor and delivery unit in a community hospital can improve perinatal patient safety in a cost-effective manner through improved teamwork, improved communication and improved skills and knowledge. Simulations in the management of obstetric emergencies were performed through the use of roleplaying. The Safety Attitude Questionnaire (SAQ) tool was used to measure the team's perception of safety climate of the unit. Findings: The overall results of the SAQ survey demonstrated an improvement in the participants' perceptions of teamwork, safety, communication, job satisfaction, workplace condition, and perception of management. While the project was limited due to the low number of staff and physicians who participated in the project and no participation from the respiratory therapists, the overall results of the SAQ survey demonstrated some improvement in many areas. Conclusion: There are areas of concern; identification of these issues is critical in taking necessary steps to identify measures to improve them. Additionally, the SAQ results demonstrate a need for continued application of simulation and measurement of tthe obsetric multidisciplinary team's perception of communication, teamwork, safety, job satisfaction, and workplace condition.

Updated and adapted for Australia and New Zealand, offering course guidance for the multi-professional management of obstetric emergencies.

Developed to improve patient safety during labor and delivery, the OB F.A.S.T. (Obstetrical Feasible Approach to Safety Training) simulation program is a proven, award-winning resource is designed for all members of the interdisciplinary obstetrics team to use together. Written by Dr. Giancarlo Mari, who developed the program and currently trains providers around the U.S. and the world, this volume helps teams strengthen their common knowledge of obstetric emergencies. This knowledge is then applied to rehearse emergencies together and prepare team members to provide a safe labor and delivery experience for every mother and child. Features easy-to-follow images and diagrams to reinforce team knowledge of common obstetric emergencies, from cardiac arrest and anesthesia considerations to intrapartum fetal monitoring and amniotic fluid embolism. Offers suggestions for how to run a simulation drill, as well as key points for debriefing and documentation. Includes essential background information to facilitate quick reference and skills checklists to evaluate team performance. Designed for every member of the obstetric team – from those who are new to the field to practitioners with years of experience.

The most comprehensive evidence-based guide to both obstetrics and gynecology Aimed at practicing obstetricians, gynecologists, and trainees in the specialty, Evidence-based Obstetrics and Gynecology concentrates on the clinical practice areas of diagnosis, investigation and management. The first section of the book discusses evidence-based medicine methodology in the context of the two specialties. The second and third sections cover all the major conditions in obstetrics and gynecology, with each chapter reviewing the best available evidence for management of the particular condition. The chapters are structured in line with EBM methodology, meaning the cases generate the relevant clinical questions. Evidence-based Obstetrics and Gynecology provides in-depth chapter coverage of abnormal vaginal bleeding; ectopic pregnancy; pelvic pain; lower genital tract infections; contraception and sterilization; breast diseases; urogynecology; endocrinology and infertility; puberty and precocious puberty; cervical dysplasia and HPV; cervical, vaginal, vulvar, uterine, and ovarian cancer; preconception care; prenatal care and diagnosis; drugs and medications in pregnancy; maternal complications; chronic hypertension; diabetes mellitus; thyroid disease; neurologic disease; psychiatric disease; postterm pregnancy; fetal complications; preeclampsia; and more. First book to address evidence-based practice for obstetrics and gynecology combined EBM is a highly relevant approach for this high risk specialty Edited by leading US specialist involved in the evidence-based medicine movement Evidence-Based Obstetrics and Gynecology is an important text for obstetricians and gynecologists in practice and in training, as well as for specialist nurses.

Authored by expert simulation researchers, educators, nurse practitioner faculty, and clinicians, A Practical Guide for Nurse Practitioner Faculty Using Simulation in Competency-Based Education looks at topics related to simulation design, development, and implementation for nurse practitioner and other graduate-level nursing programs.

This book will serve as a pocket guide, offering rapid advice on appropriate emergency care for a wide range of obstetric situations, including acute fetal hypoxia, uterine rupture, shoulder dystocia, eclampsia, amniotic fluid embolism, pulmonary thromboembolism, retention of the aftercoming head, major postpartum hemorrhage, and uterine inversion. For each emergency, the definition, diagnosis, and recommended management strategy are reviewed from a pan-European perspective. Regular review and training in obstetric emergencies is the only effective way to develop and maintain clinical competence in these rare and life-threatening situations, thus improving their management and the resulting outcomes. Healthcare professionals will find this book offers a practical and reliable source of information for dealing with dangerous and acute complications of pregnancy and childbirth.