ReviewObstetrics: Patient safety seriesInterdisciplinary team training identifies discrepancies in institutional policies and practices
Section snippets
Materials and methods
We hypothesized that simulation-based interdisciplinary training would reveal system-level and specialty-specific procedural and policy conflicts with the potential to adversely impact patient care. We designed the OBEMAN (Obstetrics, Emergency Medicine, Anesthesiology, and Neonatology) Program as an intervention targeting interdisciplinary teams of physicians, nurses, and ancillary health professionals tasked with managing obstetric emergencies at the University of Michigan. The program
Results
Transcripts from the debriefing sessions identified 5 main types of system-level and specialty-specific practices, policies, and procedures that could potentially cause conflict within the clinical team or adversely impact patient care. We named these categories and illustrate each type with an example below: (1) policies certatim, (2) policies impossibilia, (3) policies casualis, (4) policies oblivio, and (5) policies absens. The frequency with which an occurrence from each category arose
Comments
The results of this study demonstrate that simulation-based interdisciplinary team training can serve to identify systems-based policy discrepancies that remain undiscovered because of the relative infrequency with which they are required. We identified 5 types of incongruent policies governing clinical practice in the management of obstetric emergencies, each of which was in evidence during every training session and often at multiple occurrences within the session. Our results provide
Acknowledgments
We thank the Department of Obstetrics and Gynecology Center for Education at the University of Michigan. Mr Randall Richter, Mr Woojin Shim, and the staff at the University of Michigan Clinical Simulation Center (UMCSC).
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Cited by (0)
This project was funded by a GME Innovations Grant from the University of Michigan Medical School Office of Graduate Medical Education.
Reprints not available from the authors.