Presentation by Stefan Gisin at the International conference on Simulation-based training in medicine (Kyiv, Ukraine, March 19-20, 2015)
http://motherandchild.org.ua/eng/SimConf-2015
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Critical Incident Reporting
System (CIRS)
New culture for Patient Safety
and Error Handling
Crisis Resource Management
(CRM)
Guidelines & Algorithms
Use of Simulation
TEAM TRAINING
Patient safety
3.
4.
5.
6. Emergency Situation
• 3 important facts:
– Characteristics of crisis situation
• Not influenceable!
– Knowledge and competences
• Can be improved!
– Multidisciplinary teamwork
• Can be improved!
12. Confidential enquiries UK (CEMACH,CESDI)
• Potentially avoidable!
– 50% maternal deaths
– 75% intrapartum related deaths
• Contributing factors
– Communication problems
– Absent or poor teamwork
– Poor interpersonal relationship
• Fire drills“ for better management of obstetrical emergencies
– Multiprofessional
– Teamwork training
– Annual repetition of training for all staff
– CTG-courses every 6 months
13. • 1 day emergency training
interprofessional every 2
months
• Decrease interval decision
delivery :
25 vs 14,5 min p <0.001
• Increase in recommended
actions to alleviate cord
compression
34,7% vs 82,3% p=0.003
Siassakos D et al BJOG 2009
Emergency C-section