Implementation of a high fidelity post partum hemmorhage simulation for an acute care multisite, interprofessional women and childrens service line improves patient care outcomes
Laura Wining MSN, CHSE, CAPA, CHPN, Coordinator of Education Programs-Simulation; Tracy D. McGuire, MSN, RNC-HROB, C-EFM, FM, Clinical Education Nurse-Women’s and Children’s Service Line
- Sigma Affiliation
- Contributor Affiliation(s)
- International Nursing Association for Clinical Simulation and Learning (INACSL)
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Wining, Laura by View
Popular Works for Wining, Laura by Download
A large hospital system in Colorado where 3500 women deliver each year provided 45 simulation sessions for 195 registered nurses, 34 obstetricians and anesthesiologists, and 24 surgical techs. Simulations were provided in situ and included 4 RN’s, 1-2 physicians, and 1 surgical tech. Simulations began in a patient room and progressed with transfer and treatment to the operating rooms. Simulations followed INACSL Standards of Best Practice: Simulation(SM). Team objectives included initiating early warning blood loss criteria, coordinate care, demonstrate early crew resource management, closed loop communication, equipment locations, medication management, and blood administration in an acute massive transfusion situation. Electronic medical record abstraction through qualitative chart review pre and post education found neonatal deliveries increased from 1788 to 1790, with an increase of 78 to 82 quantified PPH . The number of patients that requiring only medications increased to 60 from 52, patients that required surgical interventions decreased from 27 to 20, and patients needing transfusions decreased by 50% from 18 to 9. Additionally simulations identified process improvements that included supply location changes, additions to a massive transfusion protocol, and implementation of the Early Blood Loss Intervention protocol. Supportive documentation received from physicians post education stated improvement in team performance during patient actual PPH situations. Barriers included competing organization needs that limited some physicians’ involvement, and process differences between hospital sites. interprofessional in situ simulation education is an effective modality to improving patient care outcomes as well as identifying process improvement opportunities by hardwiring early intervention for PPH complications.
INACSL Conference 2017: Nursing Simulation, Marriott Wardman Hotel, Washington, DC, USA
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.
|Review Type||Abstract Review Only: Reviewed by Event Host|
Post Partum Hemmorhage;
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Dedicated education unit: An academia and clinical practice partnership aimed at improving outcomes Jones, Cynthia L.; Scheckel, Martha M.; Forsyth, Diane; Johnson, LeAnn M.; McGuire, Jennifer M.; Chesak, Sherry S.; Meiers, Sonja J. (2017-03-03)Session presented on Saturday, March 18, 2017: The academic-practice gap is an area of concern when dealing with the education of future health care professionals. The transition from hospital-based training to academically ...
The Women's Wellness with Type 2 Diabetes Program: An Australian-UK collaboration supporting women with diabetes Anderson, Debra Jane; McDonald, Nicole; Porter-Steele, Janine; Sapkota, Diksha; Walker, Rosie; Temple, Ayako; McGuire, Amanda M.; Seib, Charrlotte; Rogers, Rebecca; Sturt, JackieThis presentation describes the development, delivery, and findings from a feasibility study conducted across Australia and the United Kingdom of the Women's Wellness with Type 2 Diabetes Program (WWDP). The program aims ...
Perceived barriers to healthy lifestyle activities in midlife and older Australian women with type 2 diabetes McGuire, Amanda M.; Anderson, Debra Jane (2012-9-12)Purpose: Type 2 diabetes is a leading cause of morbidity and mortality in midlife and older Australian women with known modifiable risk factors for type 2 diabetes including smoking, nutrition, physical activity and obesity. ...
Ensuring Patient Privacy: Are Your Educational Materials Free from Harm? McGuire, Theresa; Burkhartzmeyer, Holly; Arcand, Lori; Preston, HeatherHave you ever reflected on a patient scenario that did not go well? Then thought it would make an excellent case study? While developing that educational content, have you ever considered that you could be violating patient ...
Global leadership as a focus for mentoring Rosser, Elizabeth Anne; Edwards, Samantha; Hodges, Kimberly T.; Ito, Misae; Kwan, Rick Y. C.; Llanes, Mila Delia M.; McGuire, Amanda M.; Potter, Danita R.Globally developed leaders are needed to support transformational change The Global Leadership Mentoring Community encouraged growth through personal leadership achievements, to gain confidence to lead in our Sigma chapter, ...