Team training for safer birth

Cornthwaite, Katie; Alvarez, Mary; Siassakos, Dimitrios

doi:10.1016/j.bpobgyn.2015.03.020

Cited by 27 publications

(23 citation statements)

References 70 publications

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“…Table 1 shows the articles used for extraction of the risk factors for neonatal safety during C-section. [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] jaundice due to delayed cord clamping [22,25,33] nosocomial infection [3,[34][35][36][37][38] hypothermia and hyperthermia [9,39,40] Fall [9,10] safe sleep [9,[41][42][43][44] medication error [3,45] perioperative damage [3] error in registering infants' identity [8,46] Discussion Timely Cord Clamping…”

Section: Resultsmentioning

confidence: 99%

“…Medication error and wrong dosage and infusion are preventable adverse events [3]. In order to avoid the possibility of errors in stressful conditions during neonatal surgeries and C-section, updating the knowledge of medication selection and right dosage by physicians [40], employing experienced and committed staff [4,41], continuous group training [42] and interdisciplinary training [13] through simulation [5] are necessary, and the staff should be prepared for real situations in high-risk infants requiring mechanical resuscitation and ventilation [5]. Other considerations for reducing the possibility of medication error include the use of intact equipment [14].…”

Section: Medication Errormentioning

confidence: 99%

“…The possibility of perioperative injuries, such as unwanted incisions during opening of the uterus [3], can be reduced through teamwork [43,44], employing experienced and dedicated staff [4,41], continuous team training [42] as well as interdisciplinary training [13] through simulation [5], and using proper and intact equipment and checking equipment before use to ensure their proper functioning [14].…”

Section: Perioperative Injuries In Infantsmentioning

confidence: 99%

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Infant’s safety in cesarean section surgery: a meta-synthesis

Ghafouri

Yaghmaei

Khodadadi

2020

Preprint

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Background: Patient safety is the most important clinical priority, especially in high-risk groups such as infants. Neonatal safety after a C-section is more challenging because despite all efforts and guidelines, patient safety is still a major challenge in the operating room. This meta-synthesis study aimed to investigate the factors affecting neonatal safety during a C-section and to provide improved strategies. Methods: This systematic review was carried out through meta-synthesis. A total of 112 articles were found and finally, 37 articles were selected for research after review. The articles were first reviewed by title and abstract and those which met the inclusion criteria were entered into the study. The inclusion criteria were papers in English and Persian, relevance to neonatal safety and being published before 2019. Exclusion criteria were papers that were not relevant to safety or neonate. In the next step, the quality of the articles was reviewed simultaneously by two separate researchers using the Strengthening the Reporting of Observational studies in Epidemiology" STROBE" and consolidated standards of reporting trials "CONSORT" Review Guidelines. Data were analyzed using content analysis. Results: The most important risk factors of neonatal safety during a C-section included anemia due to early cord clamping, jaundice due to delayed cord clamping, nosocomial infection, hypothermia and hyperthermia, inappropriate positioning of the infant, fall, medication error, operative damage and error in registering infants identity. Conclusion: For improvement of neonatal safety during C-section, it is important to consider teamwork, team and interdisciplinary continuous training through simulation, accurate identification of mothers and accurate registration of mothers and infants' identity on the identification band, accurate medication and right dosage, safely carrying and sleeping, observing infection control tips, maintaining operating room temperature and humidity, cord clamping after 30 seconds before birth and 2 minutes after birth.

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Section: Resultsmentioning

confidence: 99%

Section: Medication Errormentioning

confidence: 99%

Section: Perioperative Injuries In Infantsmentioning

confidence: 99%

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Infant’s safety in cesarean section surgery: a meta-synthesis

Ghafouri

Yaghmaei

Khodadadi

2020

Preprint

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“…Teamwork and emergency preparedness have been shown to be key determinants of successful obstetric emergency response 2 . Therefore, in addition to coordinating the technical aspects of care, “skills and drills” interventions, including realistic simulation exercises for obstetric and neonatal emergencies, have been used for several decades in a variety of clinical settings in high-income countries to improve the quality of providers' responses as they work as a team in stressful and time-sensitive situations 3 – 6 .…”

Section: Previous Related Workmentioning

confidence: 99%

“…How improvement goals are set has been shown to be critical 14 . Teams also function best in situations where there is a flat, non-hierarchical organizational structure 2 . In a hierarchical health system, there may be hesitancy on the part of some providers to form, lead, or play an equal role on a team.…”

Section: Possible Reasons Why the Intervention In India Had Limited Ementioning

confidence: 99%

Limits of “Skills And Drills” Interventions to Improving Obstetric and Newborn Emergency Response: What More Do We Need to Learn?

Ricca

2016

Glob Health Sci Pract

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A “skills and drills” intervention in 4 hospitals in Karnataka, India, produced modest improvement in provider knowledge and skills but not in actual response to obstetric and newborn emergencies. We explore possible explanations, which include (1) the need for a more intensive intervention; (2) other weaknesses in the health system; and (3) behavioral or organizational barriers related to hierarchical structures, roles, and team formation.

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