AHRQ Innovations Exchange | Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes

Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes

Snapshot
Summary
Multidisciplinary teams at the University of Kansas Hospital seek to improve the process of care when handling obstetric emergencies by rehearsing team responses to emergency situations that can occur during a delivery. Basing their process on an existing model (PRactical Obstetric MultiProfessional Training, or PROMPT),1 the teams rehearse emergency care in performance scenarios to achieve an optimal response and then use this experience to improve their response to a real emergency. Use of the program at the University of Kansas has led to anecdotal reports of better management of emergency situations and to reductions in malpractice insurance premiums; more formal, qualitative studies are not feasible at this time due to the relative rarity of obstetric emergencies at the hospital.
Evidence Rating
Suggestive: The evidence consists of anecdotal data from the University of Kansas Hospital. Data from two retrospective observational studies and two RCTs from settings in the United Kingdom are also presented; these studies evaluated the program's impact on patient and care process outcome measures, including Apgar scores, incidence of hypoxic-ischemic encephalopathy, injury associated with shoulder dystocia, treatment of eclampsia, and clinician knowledge.

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AHRQ Innovations Exchange | Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes