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Journal Article > Review
Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review.
Merién AER, van de Ven J, Mol BW, Houterman S, Oei SG. Obstet Gynecol. 2010;115:1021-1031.
Teamwork training is increasingly being used to improve communication, interprofessional collaboration, and situational awareness in crisis situations. Training may take place "in the field" or in simulated patient care scenarios, and has been widely implemented in environments ranging from the emergency department to children's hospitals. This systematic review sought to determine the effects of multidisciplinary teamwork training on obstetric teams' ability to navigate simulated crisis scenarios, and found that teamwork knowledge and skills generally improved. However, only one study actually assessed the effect of the training on participants' subsequent clinical outcomes. Concerns raised by this review mirror those of a recent systematic review of teamwork training programs, namely a lack of high-quality studies and significant variation in the type and intensity of the programs themselves.
Journal Article > Study
Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned?
Romijn A, Teunissen PW, de Bruijne MC, Wagner C, de Groot CJM. BMJ Qual Saf. 2018;27:279-286.
This qualitative study assessed perceptions of teamwork and interprofessional collaboration between obstetricians, nurses, and hospital-based and primary care midwives in the Netherlands. Overall, obstetricians perceived teamwork to be better than participants from other disciplines. The gap between physicians, nurses, and midwives was largest with regard to perceived openness to sharing opinions and discussing new ideas.
Journal Article > Study
Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study.
Romijn A, Ravelli ACJ, de Bruijne MC, et al. BJOG. 2019;126:907-914.
This cluster-randomized trial examined whether a team training intervention would improve perinatal and maternal outcomes for singleton births without congenital abnormalities, on or after 32 weeks gestation. Researchers found no significant change in incidence of adverse outcomes, suggesting that simulation-based training alone is not sufficient to optimize perinatal safety.