Hospital, simulation center, and teamwork training for eclampsia management: a randomized controlled trial

D Ellis, JF Crofts, LP Hunt, M Read, R Fox, M James

Research output: Contribution to journalArticle (Academic Journal)peer-review

125 Citations (Scopus)

Abstract

OBJECTIVE: To compare the effectiveness of training for eclampsia in local hospitals and a regional simulation center, with and without teamwork theory. METHODS: This study is a randomized controlled trial of training in local hospitals and in a simulation center in the United Kingdom. Midwives and obstetricians working at participating hospitals were randomly assigned to 24 teams. Teams were randomly allocated to training in local hospitals or at a simulation center, and to teamwork theory or not. Performance was evaluated before and after training with a standardized eclampsia scenario captured on video. Outcome measures were completion of tasks, time to completion of tasks, administration of magnesium sulfate, and quality of teamwork. RESULTS: Training was associated with an increase in completion of basic tasks; 87% before training and 100% afterward. Basic tasks were completed more quickly; 55 seconds compared with 27 seconds, P=.012. The magnesium sulfate loading dose was administered by 61% of teams before training and by 92% afterward (P=.040). There was a shorter median time to administration (116 seconds less; P=.011). Training at the simulation center was not associated with additional improvement. Teamwork generally improved (median global score rose from 2.5 to 4.0; P
Translated title of the contributionHospital, simulation center, and teamwork training for eclampsia management: a randomized controlled trial
Original languageEnglish
Pages (from-to)723 - 731
Number of pages9
JournalObstetrics and Gynecology
Volume111(3)
DOIs
Publication statusPublished - Mar 2008

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