Cost-effectiveness of simulation-based team training in obstetric emergencies (TOSTI study)

Ven, A. J. van der; Baaren, Gert Jan Van; Fransen, Annemarie; Heimel, Pieter J. van Runnard; Mol, Ben Willem J.; Oei, S.G.

doi:10.1016/j.ejogrb.2017.07.027

Cited by 37 publications

(24 citation statements)

References 13 publications

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“…There is limited research into the cost-effectiveness of simulation training for OVB. Studies in high-income settings have demonstrated that repetitive, on-site simulation training is cost effective [63]. Important components to training are outlined in this article and we argue these can be achieved in low/middle-income settings.…”

Section: Cost-effectiveness (Heading B)mentioning

confidence: 84%

Skills training for operative vaginal birth

Hotton

O’Brien

Draycott

2019

Best Practice & Research Clinical Obstetrics & Gynaecol

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Section: Cost-effectiveness (Heading B)mentioning

confidence: 84%

Skills training for operative vaginal birth

Hotton

O’Brien

Draycott

2019

Best Practice & Research Clinical Obstetrics & Gynaecol

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“…38 For example, studies in regular simulated paediatric mock codes and simulation-based obstetric emergencies have evaluated patient outcomes as well as the ultimate financial savings to demonstrate value and necessity in such training. 39 Academic Emergency Medicine has published a means to communicate cost benefit and return on investment for simulation from the 2017 consensus meeting. 40 While there is no doubt in the value and necessity of simulation training in medical education, it does have a significant cost and can be resource intensive.…”

Section: Discussionmentioning

confidence: 99%

Cost-effectiveness of a video game versus live simulation for disaster training

et al. 2019

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IntroductionDisaster triage training for emergency medical service (EMS) providers is unstandardised. We hypothesised that disaster triage training with the paediatric disaster triage (PDT) video game ‘60 s to Survival’ would be a cost-effective alternative to live simulation-based PDT training.MethodsWe synthesised data for a cost-effectiveness analysis from two previous studies. The video game data were from the intervention arm of a randomised controlled trial that compared triage accuracy in a live simulation scenario of exposed vs unexposed groups to the video game. The live simulation and feedback data were from a prospective cohort study evaluating live simulation and feedback for improving disaster triage skills. Postintervention scores of triage accuracy were measured for participants via live simulations and compared between both groups. Cost-effectiveness between the live simulation and video game groups was assessed using (1) A net benefit regression model at various willingness-to-pay (WTP) values. (2) A cost-effectiveness acceptability curve (CEAC).ResultsThe total cost for the live simulation and feedback training programme was $81 313.50 and the cost for the video game was $67 822. Incremental net benefit values at various WTP values revealed positive incremental net benefit values, indicating that the video game is more cost-effective compared with live simulation and feedback. Moreover, the CEAC revealed a high probability (>0.6) at various WTP values that the video game is more cost-effective.ConclusionsA video game-based simulation disaster triage training programme was more cost-effective than a live simulation and feedback-based programme. Video game-based training could be a simple, scalable and sustainable solution to training EMS providers.

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“…It must provide educational material that is culturally relevant and evidence-based. It must be cost-effective 8 , and available in a format that minimizes the time spent away from clinical duties. Use of simulationbased training improves and reinforces clinical skills 9 .…”

Section: Discussionmentioning

confidence: 99%

Advanced Life Support in Obstetrics

Soldat

2019

rpcpe

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Multiple barriers to high quality maternity care have been identified in Indonesia. One barrier is the shortage of well-trained maternity care providers, particularly in remote and rural areas. Maternity care training programs do not consistently prepare their graduates to provide high quality care. Poor pre-service training may then be compounded by a lack of post-service supervision and inadequate multispecialty teamwork. Maternity care continuing education is an important means to reinforce and improve the skills needed to provide high quality maternity care. Programs that have been developed for low- to middle-income countries focus on providing culturally appropriate information to improve competency, communication and teamwork. Improvement in quality of care has been documented, showing a decrease in maternal morbidity and mortality. This trend is reflected in improvements in patient satisfaction and trust, and ultimately supports the tenets of patient-centered care.

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Cost-effectiveness of simulation-based team training in obstetric emergencies (TOSTI study)

Cited by 37 publications

References 13 publications

Skills training for operative vaginal birth

Skills training for operative vaginal birth

Cost-effectiveness of a video game versus live simulation for disaster training

Advanced Life Support in Obstetrics

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