• adverse events;
  • perinatal safety nurse;
  • simulation;
  • team training;
  • communication;
  • safety attitude questionnaire

Poster Presentation

  1. Top of page
  2. Poster Presentation

Purpose for the Program

This innovative safety program incorporates a multidisciplinary approach to team debriefing and high-fidelity simulation-based training during a simulated critical event (shoulder dystocia). This simulation program includes all providers (physicians, midwives, nurses, and residents) associated with our obstetric unit and reinforces the concept of patient safety through practiced communication and teamwork.

Proposed Change

Simulation participants will be given the chance to apply their previously learned TeamSTEPPS knowledge and skills to a critical patient scenario on an annual basis. In turn, this simulation program will be successful in establishing an effective approach for all disciplines with each patient encounter.

Implementation, Outcomes, and Evaluation

Several years ago, MCIC Vermont, Inc., our hospital's risk retention group, developed the position of a patient safety nurse. The patient safety nurse not only works as a patient safety advocate, but also as a team training clinical nurse specialist through several MCIC driven initiatives. Among these initiatives are TeamSTEPPS team training and simulation. Each member of our health team must attend one initial 4-hour TeamSTEPPS class shortly after starting clinical work within our obstetric unit. This course highlights the Agency for Healthcare Research and Quality's TeamSTEPPS approach to teamwork and communication. Our simulation program was introduced not only for skills-based training, but to reinforce and practice/apply interdisciplinary teamwork and communication taught within this TeamSTEPPS course. Each attending physician, midwife, registered nurse, and resident must attend at least one simulation annually to sustain their skills.

It is expected that our unit's safety culture will continue to show growth, which has resulted in a significant reduction in adverse outcomes. Also, an evaluation tool is anonymously completed by all participants after completing each high-fidelity simulation. So far, all responses have been very positive. In addition, every 18 months we measure our culture of safety by administering Sexton's Safety Attitudes Questionnaire. All disciplines practicing within our obstetric unit participate with this research tool. So far the teamwork and safety scores have steadily risen reflecting a positive attitude toward our simulation program as well as other initiatives.

Implications for Nursing Practice

Effective communication, collaboration, and teamwork are central to professional nursing. All are crucial within the clinical settings and bring research-based quality care to the bedside for those patients who depend on us.