Establishment of a multidisciplinary simulation-based delivery room team training with the object to improve patient safety

An emergency C-section is a classic emergency situation that requires immediate and perfect cooperation. Simulation-based trainings are already part of the education of health care professionals in the U.K. to prevent serious adverse events in patient care (and used for the training of all those involved). A simulator-based team training for the delivery room has been established as part of the integrated approach to patient safety at KRH Klinikum Hannover Nord. The 4-h course concept includes a theoretical introduction and four simulation scenarios. After each simulation, a detailed debriefing is conducted by the coaches. Learning objectives are the improvement of the personal attitude towards safe performance of an emergency C-section in common peripartum emergencies (eclampsia, uterine rupture, placenta previa, and umbilical cord abnormalities) and the communication between all parties involved. The participants of the course also gain basic knowledge of incident management and are introduced to a concept for a debriefing of serious adverse events. The evaluation of our team training shows a very high acceptance and a great studying effect among the professional groups involved. All participants rated the training as "important" to "extremely important" for their clinical work. Even experienced employees are inspired by the simulation-based emergency training and benefit from the introduction to the incident management concept. These results underline the significance of team training for patient safety. The implementation of this training is crucial for the long-term benefit of our program and, therefore, needs to be an essential part of clinical routine. Our goal is to examine the impact of team training and monitor changes in performance in order to justify the resource allocations.