Video Debriefing at the Delivery Ward - Empowering Obstetric Teams to High Performance
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 420
- 试验地点
- 4
- 主要终点
- Clinical performance
研究概览
简要总结
Postpartum hemorrhage continues to be the leading cause of maternal morbidity and mortality worldwide. Successful management of postpartum hemorrhage requires not only administration of the right medicine, but also a rapid and coordinated response from a multi-professional team. A prerequisite for this is that the individuals are well trained, which the investigators believe can be improved by video debriefing of real-life events.
The purpose of this study is to improve obstetric teams management of postpartum hemorrhage using video recordings of real-life events in post event debriefings.
Cameras are placed in the ceiling of all delivery rooms to record obstetric teams' management of postpartum hemorrhage. Video recording requires informed consent from all participants. After an event, the team will review their own performance on video in a debriefing session to improve future performance.
详细描述
Background:
Video review was first introduced in healthcare in the 1980s to improve emergency teams' management of critical situations by having them review their own performance on video in a debriefing session. Video debriefing offers an opportunity to review the care delivered in high-stake, high-risk, and time-critical situations. Video debriefing has been found to improve the performance of neonatal resuscitation teams and trauma teams; however, video debriefing has not generally been accepted in the delivery ward. A recent PhD project developed a method for systematically filming obstetric emergencies, in two Danish hospitals, where informed consent had been obtained from all participants. In addition, the project developed a method for systematically assessing obstetric teams' clinical performance during postpartum hemorrhage
The aim of the study is to examine the effect of real-life video debriefing on obstetric teams' management of major postpartum hemorrhage.
Material and methods:
The study will be conducted at two Danish hospitals, Aarhus University Hospital (5,000 deliveries per year) and Horsens Regional Hospital (2,300 deliveries per year).
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
盲法说明
Videos from baseline period and intervention period will be mixed and assessed at the end of the study. The raters will be blinded to which period the video originates from
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Women with major postpartum hemorrhage (1.0 liter or more).
排除标准
- •Language difficulties requiring an interpreter or translator
结局指标
主要结局
Clinical performance
时间窗: All videos will be assessed 2.5 years (autumn 2023)
Videos will be assessed by raters using the TeamOBS-PPH checklist (Brogaard L et al, Development of the TeamOBS-PPH - targeting clinical performance in postpartum hemorrhage, 2018)
次要结局
- Non-technical performance(All videos will be assessed 2.5 years (autumn 2023))
- Maternal birth characteristics. Time of day.(Data will be assessed 2.5 years (autumn 2023))
- Maternal birth characteristics. Blood loss.(Data will be assessed 2.5 years (autumn 2023))
- Maternal birth characteristics. Epidural(Data will be assessed 2.5 years (autumn 2023))
- Maternal characteristics additional. Age.(Data will be assessed 2.5 years (autumn 2023))
- Maternal characteristics additional. Previous postpartum hemorrhage.(Data will be assessed 2.5 years (autumn 2023))
- Maternal birth characteristics. GA.(Data will be assessed 2.5 years (autumn 2023))
- Maternal birth characteristics. Birth length (>18 hours).(Data will be assessed 2.5 years (autumn 2023))
- Maternal characteristics additional. BMI.(Data will be assessed 2.5 years (autumn 2023))
- Team characteristics. Team size.(Data will be assessed 2.5 years (autumn 2023))
- Neonatal characteristics. Mean birth weight.(Data will be assessed 2.5 years (autumn 2023))
- Implementation of video debriefing(Data will be assessed 2.5 years (autumn 2023))
- Maternal birth characteristics. Oxytocin.(Data will be assessed 2.5 years (autumn 2023))
- Maternal birth characteristics. Induction.(Data will be assessed 2.5 years (autumn 2023))
- Maternal birth characteristics. Twin pregnancy.(Data will be assessed 2.5 years (autumn 2023))
- Team characteristics. Hospital.(Data will be assessed 2.5 years (autumn 2023))
- Maternal characteristics additional. Previous births(Data will be assessed 2.5 years (autumn 2023))