Using simulation for assessment of non-technical skills in obstetrical team training
This study takes place in the Simulation Centre at the Sunnybrook Health Sciences Centre. A series of four different simulation scenarios are being used to develop a reliable tool to assess the nontechnical skills involved in obstetrical team training. These scenarios were developed using information about the causes of maternal morbidity and mortality collected from various databases.
Six themes and 18 subthemes have emerged as important assessment points, which were compiled into a checklist of skills and behaviours called the Assessment of Obstetrical Team Performance (AOTP). Primary themes include communication with patient/partner; task management; teamwork; communication with team members; situational awareness and environment of the room.
The study currently videotapes and reviews obstetrical teams from six hospitals in the Greater Toronto Area using the AOTP. Further work will aim to increase patient safety by improving the behavioural aspects of team performance, as well as integrating simulation team training into the Managing Obstetrical Risk Efficiently (MOREOB) program.
Dr. Pamela Morgan
Sunnybrook Health Sciences Centre
Canadian Patient Safety Institute (CPSI): $119,340