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Int. J. Environ. Res. Public Health 2018, 15(3), 439; https://doi.org/10.3390/ijerph15030439

Crisis Resource Management in the Delivery Room: Development of Behavioral Markers for Team Performance in Emergency Simulation

1
Department of Education Science, University of Genoa, 16128, Italy
2
Valorizzazione Innovazione Empowerment s.r.l., Spinoff of the University of Genoa, 16129, Italy
3
High Intensive Care Department, Istituto di Ricovero e Cura a Carattere Scientifico Giannina Gaslini Children’s Research Hospital, 16147, Italy
4
National Research Council of Italy, 16149, Italy
5
Department of Educational Sciences, University of Genoa, 16128, Italy
6
Anesthesiology and Intensive Care Department, M.G. Vannini Hospital, Rome, 00177, Italy
*
Author to whom correspondence should be addressed.
Received: 14 December 2017 / Revised: 21 February 2018 / Accepted: 27 February 2018 / Published: 3 March 2018
(This article belongs to the Special Issue Healthcare Quality and Patient Satisfaction)
Full-Text   |   PDF [279 KB, uploaded 3 March 2018]

Abstract

Human factors are the most relevant issues contributing to adverse events in obstetrics. Specific training of Crisis Resource Management (CRM) skills (i.e., problem solving and team management, resource allocation, awareness of environment, and dynamic decision-making) is now widespread and is often based on High Fidelity Simulation. In order to be used as a guideline in simulated scenarios, CRM skills need to be mapped to specific and observable behavioral markers. For this purpose, we developed a set of observable behaviors related to the main elements of CRM in the delivery room. The observational tool was then adopted in a two-days seminar on obstetric hemorrhage where teams working in obstetric wards of six Italian hospitals took part in simulations. The tool was used as a guide for the debriefing and as a peer-to-peer feedback. It was then rated for its usefulness in facilitating the reflection upon one’s own behavior, its ease of use, and its usefulness for the peer-to-peer feedback. The ratings were positive, with a median of 4 on a 5-point scale. The CRM observational tool has therefore been well-received and presents a promising level of inter-rater agreement. We believe the tool could have value in facilitating debriefing and in the peer-to-peer feedback. View Full-Text
Keywords: Crisis Resource Management; obstetric hemorrhage; non-technical skills; High Fidelity Simulation; delivery room Crisis Resource Management; obstetric hemorrhage; non-technical skills; High Fidelity Simulation; delivery room
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Bracco, F.; de Tonetti, G.; Masini, M.; Passarelli, M.; Geretto, F.; Celleno, D. Crisis Resource Management in the Delivery Room: Development of Behavioral Markers for Team Performance in Emergency Simulation. Int. J. Environ. Res. Public Health 2018, 15, 439.

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