The Labor and Delivery Teamwork Intervention Trial
- Conditions
- Adverse Maternal and Neonatal Outcomes
- Registration Number
- NCT00381056
- Lead Sponsor
- Beth Israel Deaconess Medical Center
- Brief Summary
A cluster-randomized controlled trial was conducted at 7 intervention and 8 control hospitals to evaluate the effect of teamwork training on the occurrence of adverse outcomes and processes of care in labor and delivery.
- Detailed Description
A cluster-randomized controlled trial was conducted at 7 intervention and 8 control hospitals to evaluate the effect of teamwork training on the occurrence of adverse outcomes and processes of care in labor and delivery. The intervention, called the Labor \& Delivery Team Coordination Course, was a standardized teamwork training curriculum based on crew resource management that emphasized communication and team structure. The primary outcome was the proportion of deliveries at greater than or equal to 20 weeks gestation in which one or more adverse maternal and/or neonatal outcomes occurred (Adverse Outcome Index, AOI). Additional outcomes included 11 clinical process measures.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 30000
- delivery at a participating hospital between 12/31/02-03/31/04
- pregnancy of 20-43 weeks gestation
- delivery at less than 20 weeks or greater than 43 weeks
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method The primary outcome was the proportion of deliveries at greater than or equal to 20 weeks gestation in which one or more adverse maternal and/or neonatal outcomes occurred (Adverse Outcome Index).
- Secondary Outcome Measures
Name Time Method Additional outcomes were eleven process measures that recorded length of care or delay to action.
Trial Locations
- Locations (15)
Baptist Health South Florda
🇺🇸Miami, Florida, United States
University of Vermont
🇺🇸Burlington, Vermont, United States
Johns Hopkins Hospital
🇺🇸Baltimore, Maryland, United States
Tripler Army Medical Center
🇺🇸Honolulu, Hawaii, United States
Naval Medical Center San Diego
🇺🇸San Diego, California, United States
University of Alabama
🇺🇸Birmingham, Alabama, United States
Naval Hospital Campe Pendleton
🇺🇸Oceanside, California, United States
University of Miami
🇺🇸Miami, Florida, United States
South Shore Hospital
🇺🇸Weymouth, Massachusetts, United States
National Naval Medical Center Bethesda
🇺🇸Bethesda, Maryland, United States
Baystate Hospital
🇺🇸Springfield, Massachusetts, United States
Naval Medical Center Portsmouth
🇺🇸Portsmouth, Virginia, United States
Beaumont Hospital
🇺🇸Royal Oaks, Michigan, United States
University of Michigan
🇺🇸Ann Arbor, Michigan, United States
Madigan Army Medical Center
🇺🇸Tacoma, Washington, United States