Development of the TeamOBS‐PPH – targeting clinical performance in postpartum hemorrhage

Abstract

The TeamOBS-PPH tool appears to be valid and reliable for assessing clinical performance in real-life and simulated settings. The tool will be shared as the free TeamOBS App.

Filming for auditing of real-life emergency teams: a systematic review

“…A further eight studies were identified by checking the references lists. Among these 165 studies, 50 were eligible according to the inclusion criteria (online supplementary table S1),4 5 8 13 21–66 and five of these evaluated the impact of video review in regards to improvement in patient care (PICOS)8 21 23 41 62 (figure 1).…”

The importance of non‐technical performance for teams managing postpartum haemorrhage: video review of 99 obstetric teams

“…The main strength of the study is the unique dataset of videos of the clinical management of patients with real‐life postpartum haemorrhage from two hospitals. Another strength is our systematic assessment of the videos by four raters using the validated tools TeamOBS‐PPH and AOTP with a high inter‐rater agreement.…”

“…We included videos of teams managing real‐life patients suffering from major postpartum haemorrhage (≥1000 ml). The videos were recorded at two Danish hospitals: Aarhus University Hospital (level 3) with approximately 5000 deliveries per year, 50 physicians, 100 midwives, and 20 technicians, and the Regional Hospital in Horsens (level 2) with approximately 2000 deliveries per year, 25 physicians, 45 midwives, and two technicians . All delivery rooms were equipped with two or three high‐definition mini‐dome surveillance cameras and a microphone placed in the ceiling in the centre of the room.…”

“…Our primary outcome was ‘the clinical performance score’ obtained using the team obstetric postpartum haemorrhage tool (TeamOBS‐PPH) assessing adherence to the guideline . This tool was developed based on an international Delphi process among five countries and was validated according to the framework by Cook . The TeamOBS‐PPH tool consists of 19 items representing tasks from the PPH protocol and a patient safety score.…”

“…The TeamOBS‐PPH tool consists of 19 items representing tasks from the PPH protocol and a patient safety score. The minimum score is 0, the minimal pass level is 60, the high performance level is 85, and the maximum score is 100 …”