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Joanna F Crofts - One of the best experts on this subject based on the ideXlab platform.

  • retention of factual knowledge after practical training for intrapartum emergencies
    International Journal of Gynecology & Obstetrics, 2013
    Co-Authors: Joanna F Crofts, Robert Fox, Tim Draycott, Catherine Winter, Linda P Hunt, Valentine Akande
    Abstract:

    Abstract Objective To determine knowledge retention 1 year after training for intrapartum emergencies. Methods Training was undertaken in 6 hospitals and the Bristol Medical Simulation Centre, UK, between November 2004 and March 2005. Participants (22 junior and 23 senior doctors, 47 junior and 48 senior midwives) were randomly recruited from participating hospitals and underwent practical training at their local hospital or Simulation Center with or without additional teamwork training. The primary outcome was change in factual knowledge over time, as assessed by a 185-question multiple-choice questionnaire before and after training. Results Mean scores at 6 (97.6 ± 23.0; n = 107) and 12 (98.2 ± 21.6; n = 98) months remained higher than those before training (79.6 ± 21.9, n = 140; both P  Conclusion Training was associated with sustained retention of factual knowledge of obstetric emergencies care for at least 1 year. The decay in knowledge was small compared with the original gain in knowledge. Neither training location nor inclusion of teamwork training affected knowledge retention. Annual training seemed to be satisfactory for all staff groups.

  • hospital Simulation Center and teamwork training for eclampsia management a randomized controlled trial
    Obstetrics & Gynecology, 2008
    Co-Authors: Denise Ellis, Joanna F Crofts, Robert Fox, Linda P Hunt, Mike Read, Mark James
    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 obs

  • training for shoulder dystocia a trial of Simulation using low fidelity and high fidelity mannequins
    Obstetrics & Gynecology, 2006
    Co-Authors: Joanna F Crofts, Robert Fox, Linda P Hunt, Christine Bartlett, Denise Ellis, Tim Draycott
    Abstract:

    OBJECTIVE: To evaluate the effectiveness of Simulation training for shoulder dystocia management and compare training using a high-fidelity mannequin with that using traditional devices. METHODS: Training was undertaken in six hospitals and a medical Simulation Center in the United Kingdom. Midwives and obstetricians working for participating hospitals were eligible for inclusion. One hundred forty participants (45 doctors, 95 midwives) were randomized to training with a high-fidelity training mannequin (incorporating force perception training) or traditional lowfidelity mannequins. Performance was assessed pre- and posttraining, using a videoed, standardized shoulder dystocia Simulation. Outcome measures were delivery, head-to-body delivery time, use of appropriate and inappropriate actions, force applied, and communication. RESULTS: One hundred thirty-two participants completed the posttraining assessment. All training was associated with improved performance: use of basic maneuvers 114 of 140 (81.4%) to 125 of 132 (94.7%) (P.002), successful deliveries 60 of 140 (42.9%) to 110 of 132 (83.3%) (P<.001), good communication with the patient 79 of 139 (56.8%) to 109 of 132 (82.6%) (P<.001), pre- and posttraining, respectively. Training with the high-fidelity mannequin was associated with a higher successful delivery rate than training with traditional devices: 94% compared with 72% (odds ratio 6.53, 95% confidence interval 2.05–20.81; P.002). Total applied force was significantly lower for those who had undergone force training (2,030 Newton seconds versus 2,916 Newton seconds; P.006) but there was no significant difference in the peak applied force 102 Newtons versus 112 Newtons (P.242). CONCLUSION: This study verifies the need for shoulder dystocia training; before training only 43% participants could achieve delivery. All training with mannequins improved the management of simulated shoulder dystocia. Training on a high-fidelity mannequin, including force perception teaching, offered additional training benefits. (Obstet Gynecol 2006;108:1477–85)

  • training for shoulder dystocia a trial of Simulation using low fidelity and high fidelity mannequins
    Obstetrics & Gynecology, 2006
    Co-Authors: Joanna F Crofts, Linda P Hunt, Christine Bartlett, Denise Ellis, Tim Draycott
    Abstract:

    OBJECTIVE: To evaluate the effectiveness of Simulation training for shoulder dystocia management and compare training using a high-fidelity mannequin with that using traditional devices. METHODS: Training was undertaken in six hospitals and a medical Simulation Center in the United Kingdom. Midwives and obstetricians working for participating hospitals were eligible for inclusion. One hundred forty participants (45 doctors, 95 midwives) were randomized to training with a high-fidelity training mannequin (incorporating force perception training) or traditional low-fidelity mannequins. Performance was assessed pre- and posttraining, using a videoed, standardized shoulder dystocia Simulation. Outcome measures were delivery, head-to-body delivery time, use of appropriate and inappropriate actions, force applied, and communication. RESULTS: One hundred thirty-two participants completed the posttraining assessment. All training was associated with improved performance: use of basic maneuvers 114 of 140 (81.4%) to 125 of 132 (94.7%) (P=.002), successful deliveries 60 of 140 (42.9%) to 110 of 132 (83.3%) (P<.001), good communication with the patient 79 of 139 (56.8%) to 109 of 132 (82.6%) (P<.001), pre- and posttraining, respectively. Training with the high-fidelity mannequin was associated with a higher successful delivery rate than training with traditional devices: 94% compared with 72% (odds ratio 6.53, 95% confidence interval 2.05-20.81; P=.002). Total applied force was significantly lower for those who had undergone force training (2,030 Newton seconds versus 2,916 Newton seconds; P=.006) but there was no significant difference in the peak applied force 102 Newtons versus 112 Newtons (P=.242). CONCLUSION: This study verifies the need for shoulder dystocia training; before training only 43% participants could achieve delivery. All training with mannequins improved the management of simulated shoulder dystocia. Training on a high-fidelity mannequin, including force perception teaching, offered additional training benefits. LEVEL OF EVIDENCE: I.

Tim Draycott - One of the best experts on this subject based on the ideXlab platform.

  • retention of factual knowledge after practical training for intrapartum emergencies
    International Journal of Gynecology & Obstetrics, 2013
    Co-Authors: Joanna F Crofts, Robert Fox, Tim Draycott, Catherine Winter, Linda P Hunt, Valentine Akande
    Abstract:

    Abstract Objective To determine knowledge retention 1 year after training for intrapartum emergencies. Methods Training was undertaken in 6 hospitals and the Bristol Medical Simulation Centre, UK, between November 2004 and March 2005. Participants (22 junior and 23 senior doctors, 47 junior and 48 senior midwives) were randomly recruited from participating hospitals and underwent practical training at their local hospital or Simulation Center with or without additional teamwork training. The primary outcome was change in factual knowledge over time, as assessed by a 185-question multiple-choice questionnaire before and after training. Results Mean scores at 6 (97.6 ± 23.0; n = 107) and 12 (98.2 ± 21.6; n = 98) months remained higher than those before training (79.6 ± 21.9, n = 140; both P  Conclusion Training was associated with sustained retention of factual knowledge of obstetric emergencies care for at least 1 year. The decay in knowledge was small compared with the original gain in knowledge. Neither training location nor inclusion of teamwork training affected knowledge retention. Annual training seemed to be satisfactory for all staff groups.

  • training for shoulder dystocia a trial of Simulation using low fidelity and high fidelity mannequins
    Obstetrics & Gynecology, 2006
    Co-Authors: Joanna F Crofts, Robert Fox, Linda P Hunt, Christine Bartlett, Denise Ellis, Tim Draycott
    Abstract:

    OBJECTIVE: To evaluate the effectiveness of Simulation training for shoulder dystocia management and compare training using a high-fidelity mannequin with that using traditional devices. METHODS: Training was undertaken in six hospitals and a medical Simulation Center in the United Kingdom. Midwives and obstetricians working for participating hospitals were eligible for inclusion. One hundred forty participants (45 doctors, 95 midwives) were randomized to training with a high-fidelity training mannequin (incorporating force perception training) or traditional lowfidelity mannequins. Performance was assessed pre- and posttraining, using a videoed, standardized shoulder dystocia Simulation. Outcome measures were delivery, head-to-body delivery time, use of appropriate and inappropriate actions, force applied, and communication. RESULTS: One hundred thirty-two participants completed the posttraining assessment. All training was associated with improved performance: use of basic maneuvers 114 of 140 (81.4%) to 125 of 132 (94.7%) (P.002), successful deliveries 60 of 140 (42.9%) to 110 of 132 (83.3%) (P<.001), good communication with the patient 79 of 139 (56.8%) to 109 of 132 (82.6%) (P<.001), pre- and posttraining, respectively. Training with the high-fidelity mannequin was associated with a higher successful delivery rate than training with traditional devices: 94% compared with 72% (odds ratio 6.53, 95% confidence interval 2.05–20.81; P.002). Total applied force was significantly lower for those who had undergone force training (2,030 Newton seconds versus 2,916 Newton seconds; P.006) but there was no significant difference in the peak applied force 102 Newtons versus 112 Newtons (P.242). CONCLUSION: This study verifies the need for shoulder dystocia training; before training only 43% participants could achieve delivery. All training with mannequins improved the management of simulated shoulder dystocia. Training on a high-fidelity mannequin, including force perception teaching, offered additional training benefits. (Obstet Gynecol 2006;108:1477–85)

  • training for shoulder dystocia a trial of Simulation using low fidelity and high fidelity mannequins
    Obstetrics & Gynecology, 2006
    Co-Authors: Joanna F Crofts, Linda P Hunt, Christine Bartlett, Denise Ellis, Tim Draycott
    Abstract:

    OBJECTIVE: To evaluate the effectiveness of Simulation training for shoulder dystocia management and compare training using a high-fidelity mannequin with that using traditional devices. METHODS: Training was undertaken in six hospitals and a medical Simulation Center in the United Kingdom. Midwives and obstetricians working for participating hospitals were eligible for inclusion. One hundred forty participants (45 doctors, 95 midwives) were randomized to training with a high-fidelity training mannequin (incorporating force perception training) or traditional low-fidelity mannequins. Performance was assessed pre- and posttraining, using a videoed, standardized shoulder dystocia Simulation. Outcome measures were delivery, head-to-body delivery time, use of appropriate and inappropriate actions, force applied, and communication. RESULTS: One hundred thirty-two participants completed the posttraining assessment. All training was associated with improved performance: use of basic maneuvers 114 of 140 (81.4%) to 125 of 132 (94.7%) (P=.002), successful deliveries 60 of 140 (42.9%) to 110 of 132 (83.3%) (P<.001), good communication with the patient 79 of 139 (56.8%) to 109 of 132 (82.6%) (P<.001), pre- and posttraining, respectively. Training with the high-fidelity mannequin was associated with a higher successful delivery rate than training with traditional devices: 94% compared with 72% (odds ratio 6.53, 95% confidence interval 2.05-20.81; P=.002). Total applied force was significantly lower for those who had undergone force training (2,030 Newton seconds versus 2,916 Newton seconds; P=.006) but there was no significant difference in the peak applied force 102 Newtons versus 112 Newtons (P=.242). CONCLUSION: This study verifies the need for shoulder dystocia training; before training only 43% participants could achieve delivery. All training with mannequins improved the management of simulated shoulder dystocia. Training on a high-fidelity mannequin, including force perception teaching, offered additional training benefits. LEVEL OF EVIDENCE: I.

Linda P Hunt - One of the best experts on this subject based on the ideXlab platform.

  • retention of factual knowledge after practical training for intrapartum emergencies
    International Journal of Gynecology & Obstetrics, 2013
    Co-Authors: Joanna F Crofts, Robert Fox, Tim Draycott, Catherine Winter, Linda P Hunt, Valentine Akande
    Abstract:

    Abstract Objective To determine knowledge retention 1 year after training for intrapartum emergencies. Methods Training was undertaken in 6 hospitals and the Bristol Medical Simulation Centre, UK, between November 2004 and March 2005. Participants (22 junior and 23 senior doctors, 47 junior and 48 senior midwives) were randomly recruited from participating hospitals and underwent practical training at their local hospital or Simulation Center with or without additional teamwork training. The primary outcome was change in factual knowledge over time, as assessed by a 185-question multiple-choice questionnaire before and after training. Results Mean scores at 6 (97.6 ± 23.0; n = 107) and 12 (98.2 ± 21.6; n = 98) months remained higher than those before training (79.6 ± 21.9, n = 140; both P  Conclusion Training was associated with sustained retention of factual knowledge of obstetric emergencies care for at least 1 year. The decay in knowledge was small compared with the original gain in knowledge. Neither training location nor inclusion of teamwork training affected knowledge retention. Annual training seemed to be satisfactory for all staff groups.

  • hospital Simulation Center and teamwork training for eclampsia management a randomized controlled trial
    Obstetrics & Gynecology, 2008
    Co-Authors: Denise Ellis, Joanna F Crofts, Robert Fox, Linda P Hunt, Mike Read, Mark James
    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 obs

  • training for shoulder dystocia a trial of Simulation using low fidelity and high fidelity mannequins
    Obstetrics & Gynecology, 2006
    Co-Authors: Joanna F Crofts, Robert Fox, Linda P Hunt, Christine Bartlett, Denise Ellis, Tim Draycott
    Abstract:

    OBJECTIVE: To evaluate the effectiveness of Simulation training for shoulder dystocia management and compare training using a high-fidelity mannequin with that using traditional devices. METHODS: Training was undertaken in six hospitals and a medical Simulation Center in the United Kingdom. Midwives and obstetricians working for participating hospitals were eligible for inclusion. One hundred forty participants (45 doctors, 95 midwives) were randomized to training with a high-fidelity training mannequin (incorporating force perception training) or traditional lowfidelity mannequins. Performance was assessed pre- and posttraining, using a videoed, standardized shoulder dystocia Simulation. Outcome measures were delivery, head-to-body delivery time, use of appropriate and inappropriate actions, force applied, and communication. RESULTS: One hundred thirty-two participants completed the posttraining assessment. All training was associated with improved performance: use of basic maneuvers 114 of 140 (81.4%) to 125 of 132 (94.7%) (P.002), successful deliveries 60 of 140 (42.9%) to 110 of 132 (83.3%) (P<.001), good communication with the patient 79 of 139 (56.8%) to 109 of 132 (82.6%) (P<.001), pre- and posttraining, respectively. Training with the high-fidelity mannequin was associated with a higher successful delivery rate than training with traditional devices: 94% compared with 72% (odds ratio 6.53, 95% confidence interval 2.05–20.81; P.002). Total applied force was significantly lower for those who had undergone force training (2,030 Newton seconds versus 2,916 Newton seconds; P.006) but there was no significant difference in the peak applied force 102 Newtons versus 112 Newtons (P.242). CONCLUSION: This study verifies the need for shoulder dystocia training; before training only 43% participants could achieve delivery. All training with mannequins improved the management of simulated shoulder dystocia. Training on a high-fidelity mannequin, including force perception teaching, offered additional training benefits. (Obstet Gynecol 2006;108:1477–85)

  • training for shoulder dystocia a trial of Simulation using low fidelity and high fidelity mannequins
    Obstetrics & Gynecology, 2006
    Co-Authors: Joanna F Crofts, Linda P Hunt, Christine Bartlett, Denise Ellis, Tim Draycott
    Abstract:

    OBJECTIVE: To evaluate the effectiveness of Simulation training for shoulder dystocia management and compare training using a high-fidelity mannequin with that using traditional devices. METHODS: Training was undertaken in six hospitals and a medical Simulation Center in the United Kingdom. Midwives and obstetricians working for participating hospitals were eligible for inclusion. One hundred forty participants (45 doctors, 95 midwives) were randomized to training with a high-fidelity training mannequin (incorporating force perception training) or traditional low-fidelity mannequins. Performance was assessed pre- and posttraining, using a videoed, standardized shoulder dystocia Simulation. Outcome measures were delivery, head-to-body delivery time, use of appropriate and inappropriate actions, force applied, and communication. RESULTS: One hundred thirty-two participants completed the posttraining assessment. All training was associated with improved performance: use of basic maneuvers 114 of 140 (81.4%) to 125 of 132 (94.7%) (P=.002), successful deliveries 60 of 140 (42.9%) to 110 of 132 (83.3%) (P<.001), good communication with the patient 79 of 139 (56.8%) to 109 of 132 (82.6%) (P<.001), pre- and posttraining, respectively. Training with the high-fidelity mannequin was associated with a higher successful delivery rate than training with traditional devices: 94% compared with 72% (odds ratio 6.53, 95% confidence interval 2.05-20.81; P=.002). Total applied force was significantly lower for those who had undergone force training (2,030 Newton seconds versus 2,916 Newton seconds; P=.006) but there was no significant difference in the peak applied force 102 Newtons versus 112 Newtons (P=.242). CONCLUSION: This study verifies the need for shoulder dystocia training; before training only 43% participants could achieve delivery. All training with mannequins improved the management of simulated shoulder dystocia. Training on a high-fidelity mannequin, including force perception teaching, offered additional training benefits. LEVEL OF EVIDENCE: I.

Denise Ellis - One of the best experts on this subject based on the ideXlab platform.

  • hospital Simulation Center and teamwork training for eclampsia management a randomized controlled trial
    Obstetrics & Gynecology, 2008
    Co-Authors: Denise Ellis, Joanna F Crofts, Robert Fox, Linda P Hunt, Mike Read, Mark James
    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 obs

  • training for shoulder dystocia a trial of Simulation using low fidelity and high fidelity mannequins
    Obstetrics & Gynecology, 2006
    Co-Authors: Joanna F Crofts, Robert Fox, Linda P Hunt, Christine Bartlett, Denise Ellis, Tim Draycott
    Abstract:

    OBJECTIVE: To evaluate the effectiveness of Simulation training for shoulder dystocia management and compare training using a high-fidelity mannequin with that using traditional devices. METHODS: Training was undertaken in six hospitals and a medical Simulation Center in the United Kingdom. Midwives and obstetricians working for participating hospitals were eligible for inclusion. One hundred forty participants (45 doctors, 95 midwives) were randomized to training with a high-fidelity training mannequin (incorporating force perception training) or traditional lowfidelity mannequins. Performance was assessed pre- and posttraining, using a videoed, standardized shoulder dystocia Simulation. Outcome measures were delivery, head-to-body delivery time, use of appropriate and inappropriate actions, force applied, and communication. RESULTS: One hundred thirty-two participants completed the posttraining assessment. All training was associated with improved performance: use of basic maneuvers 114 of 140 (81.4%) to 125 of 132 (94.7%) (P.002), successful deliveries 60 of 140 (42.9%) to 110 of 132 (83.3%) (P<.001), good communication with the patient 79 of 139 (56.8%) to 109 of 132 (82.6%) (P<.001), pre- and posttraining, respectively. Training with the high-fidelity mannequin was associated with a higher successful delivery rate than training with traditional devices: 94% compared with 72% (odds ratio 6.53, 95% confidence interval 2.05–20.81; P.002). Total applied force was significantly lower for those who had undergone force training (2,030 Newton seconds versus 2,916 Newton seconds; P.006) but there was no significant difference in the peak applied force 102 Newtons versus 112 Newtons (P.242). CONCLUSION: This study verifies the need for shoulder dystocia training; before training only 43% participants could achieve delivery. All training with mannequins improved the management of simulated shoulder dystocia. Training on a high-fidelity mannequin, including force perception teaching, offered additional training benefits. (Obstet Gynecol 2006;108:1477–85)

  • training for shoulder dystocia a trial of Simulation using low fidelity and high fidelity mannequins
    Obstetrics & Gynecology, 2006
    Co-Authors: Joanna F Crofts, Linda P Hunt, Christine Bartlett, Denise Ellis, Tim Draycott
    Abstract:

    OBJECTIVE: To evaluate the effectiveness of Simulation training for shoulder dystocia management and compare training using a high-fidelity mannequin with that using traditional devices. METHODS: Training was undertaken in six hospitals and a medical Simulation Center in the United Kingdom. Midwives and obstetricians working for participating hospitals were eligible for inclusion. One hundred forty participants (45 doctors, 95 midwives) were randomized to training with a high-fidelity training mannequin (incorporating force perception training) or traditional low-fidelity mannequins. Performance was assessed pre- and posttraining, using a videoed, standardized shoulder dystocia Simulation. Outcome measures were delivery, head-to-body delivery time, use of appropriate and inappropriate actions, force applied, and communication. RESULTS: One hundred thirty-two participants completed the posttraining assessment. All training was associated with improved performance: use of basic maneuvers 114 of 140 (81.4%) to 125 of 132 (94.7%) (P=.002), successful deliveries 60 of 140 (42.9%) to 110 of 132 (83.3%) (P<.001), good communication with the patient 79 of 139 (56.8%) to 109 of 132 (82.6%) (P<.001), pre- and posttraining, respectively. Training with the high-fidelity mannequin was associated with a higher successful delivery rate than training with traditional devices: 94% compared with 72% (odds ratio 6.53, 95% confidence interval 2.05-20.81; P=.002). Total applied force was significantly lower for those who had undergone force training (2,030 Newton seconds versus 2,916 Newton seconds; P=.006) but there was no significant difference in the peak applied force 102 Newtons versus 112 Newtons (P=.242). CONCLUSION: This study verifies the need for shoulder dystocia training; before training only 43% participants could achieve delivery. All training with mannequins improved the management of simulated shoulder dystocia. Training on a high-fidelity mannequin, including force perception teaching, offered additional training benefits. LEVEL OF EVIDENCE: I.

Saskia Houterman - One of the best experts on this subject based on the ideXlab platform.

  • Multidisciplinary team training in a Simulation setting for acute obstetric emergencies: a systematic review.
    Obstetrics & Gynecology, 2010
    Co-Authors: A.e.r. Merién, Saskia Houterman
    Abstract:

    OBJECTIVE: To perform a systematic review of the literature on the effectiveness of multidisciplinary teamwork training in a Simulation setting for the reduction of medical adverse outcomes in obstetric emergency situations. DATA SOURCES: We searched Medline, Embase, and the Cochrane Library from inception to June 2009. The search strategy contained medical subject heading terms ("patient care team" and "patient Simulation" and "obstetrics" or "gynecology" and "education" or "teaching") and additional text words ("teamwork," "Simulation," "training"). METHODS OF STUDY SELECTION: Studies describing and evaluating teamwork training programs with Simulation models for labor ward staff in acute obstetric emergencies were selected. The search revealed 97 articles. TABULATION, INTEGRATION, AND RESULTS: All studies were assessed independently by two reviewers for methodological quality using the quality assessment of diagnostic accuracy studies (QUADAS) criteria. Only eight articles assessed the effect of teamwork training in a Simulation setting. Four of them were randomized controlled trials and four were cohort studies. The only study that reported on perinatal outcome showed an improvement in terms of 5-minute Apgar score and hypoxic-ischemic encephalopathy. The seven other studies showed that teamwork training in a Simulation setting resulted in improvement of knowledge, practical skills, communication, and team performance in acute obstetric situations. Training in a Simulation Center did not further improve outcome compared with training in a local hospital. CONCLUSION: Introduction of multidisciplinary teamwork training with integrated acute obstetric training interventions in a Simulation setting is potentially effective in the prevention of errors, thus improving patient safety in acute obstetric emergencies. Studies on its effectiveness and cost-effectiveness are needed before team training can be implemented on broad scale.