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STORC safety initiative: a multicentre survey on preparedness & confidence in obstetric emergencies
  1. Jeanne-Marie Guise1,2,3,
  2. Sally Y Segel1,
  3. Kristine Larison4,
  4. Sarah M Jump1,
  5. Marion Constable5,
  6. Hong Li6,
  7. Patricia Osterweil1,
  8. Dieter Zimmer5
  1. 1Department of Emergency Medicine, Oregon Health & Science University, Portland, Oregon, USA
  2. 2Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon, USA
  3. 3Department of Public Health & Preventive Medicine, Oregon Health & Science University, Portland, Oregon, USA
  4. 4Providence St Vincent Medical Center, Portland, Oregon, USA
  5. 5The Doctors Company, Salem, Oregon, USA
  6. 6Oregon Clinical and Translational Research Institute Biostatistics and Design Program, Oregon Health & Science University, Portland, Oregon, USA
  1. Correspondence to Dr Jeanne-Marie Guise, Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, MC: L458, Portland, OR 97239, USA; guisej{at}


Background Patient safety is a national and international priority. The purpose of this study was to understand clinicians' perceptions of teamwork during obstetric emergencies in clinical practice, to examine factors associated with confidence in responding to obstetric emergencies and to evaluate perceptions about the value of team training to improve preparedness.

Methods An anonymous survey was administered to all clinical staff members who respond to obstetric emergencies in seven Oregon hospitals from June 2006 to August 2006.

Results 614 clinical staff (74.5%) responded. While over 90% felt confident that the appropriate clinical staff would respond to emergencies, more than half reported that other clinical staff members were confused about their role during emergencies. Over 84% were confident that emergency drills or simulation-based team training would improve performance.

Conclusions Clinical staff who respond to obstetric emergencies in their practice reported feeling confident that the qualified personnel would respond to an emergency; however, they were less confident that the responders would perform well as a team. They reported that simulation and team training may improve their preparedness and confidence in responding to emergencies.

  • Emergency medicine
  • interprofessional relations
  • obstetrics/education
  • patient care team
  • patient simulation
  • pregnancy outcomes
  • quality of healthcare
  • rural health
  • safety management
  • adverse event
  • effectiveness
  • healthcare quality
  • significant event analysis
  • teams

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  • Presentation information: Society for Maternal Fetal Medicine, San Francisco, California, 5–8 February 2007.

  • Funding This research was financed and supported by The Doctors Company, Salem, Oregon, USA through their Obstetric Collaborative Program. J-MG receives support for her work on obstetric emergency simulations and team training from the Agency for Healthcare Research and Quality grant # 1U18 HS016673.

  • Competing interests None.

  • Ethics approval Ethics approval was provided by the Oregon Health & Science University Institutional Review Board (IRB #1879).

  • Provenance and peer review Not commissioned; externally peer reviewed.