Abstract：
OBJECTIVE: To develop an interdisciplinary, interactive, skills review program to improve team responses during a postpartum hemorrhage (PPH).
METHODS: Online didactic modules in combination with an interdisciplinary skills program consisting of seven hemorrhage-related stations.
UNASSIGNED: The project was conducted in the Women\'s Health Department in a quaternary-care Magnet- and Baby Friendly-designated academic medical center in Philadelphia, Pennsylvania. Women cared for at this center have comorbidities that place them at greater risk for PPH. A need was identified to implement a multidisciplinary and comprehensive program to assess hemorrhage risk and appropriately recognize and intervene with all PPHs in this setting.
METHODS: The 276 participants, including registered nurses, obstetric and family medicine attending physicians and residents, advanced practice nurses, and ancillary staff in the hospital\'s Women\'s Health Department, completed the initial obstetric hemorrhage program.
UNASSIGNED: The program included online didactic modules, seven interdisciplinary skills stations led by trained nurses and providers, and an in situ simulation. Successful completion of the online modules was a prerequisite for participation in the skills stations. All participants completed a written program evaluation at the conclusion of the program.
RESULTS: Results of the postassessment survey indicated that participants rated the program 3.94 of 4.00 for overall effectiveness to improve interdisciplinary team responses to PPH. Comments were overwhelmingly positive, and participants expressed increased confidence and knowledge related to PPH after completion of the program.
CONCLUSIONS: An interdisciplinary program that included online didactic modules, interactive skills stations, and simulation improved team confidence and responses to PPH.
METHODS: Online didactic modules in combination with an interdisciplinary skills program consisting of seven hemorrhage-related stations.
UNASSIGNED: The project was conducted in the Women\'s Health Department in a quaternary-care Magnet- and Baby Friendly-designated academic medical center in Philadelphia, Pennsylvania. Women cared for at this center have comorbidities that place them at greater risk for PPH. A need was identified to implement a multidisciplinary and comprehensive program to assess hemorrhage risk and appropriately recognize and intervene with all PPHs in this setting.
METHODS: The 276 participants, including registered nurses, obstetric and family medicine attending physicians and residents, advanced practice nurses, and ancillary staff in the hospital\'s Women\'s Health Department, completed the initial obstetric hemorrhage program.
UNASSIGNED: The program included online didactic modules, seven interdisciplinary skills stations led by trained nurses and providers, and an in situ simulation. Successful completion of the online modules was a prerequisite for participation in the skills stations. All participants completed a written program evaluation at the conclusion of the program.
RESULTS: Results of the postassessment survey indicated that participants rated the program 3.94 of 4.00 for overall effectiveness to improve interdisciplinary team responses to PPH. Comments were overwhelmingly positive, and participants expressed increased confidence and knowledge related to PPH after completion of the program.
CONCLUSIONS: An interdisciplinary program that included online didactic modules, interactive skills stations, and simulation improved team confidence and responses to PPH.
摘要：
目标：发展跨学科，互动式,技能审查计划，以改善产后出血（PPH）期间的团队反应。
方法：在线教学模块与由七个出血相关站组成的跨学科技能计划相结合。
■该项目是在费城妇女卫生部的第四代护理磁铁和婴儿友好型学术医疗中心进行的，宾夕法尼亚。在该中心护理的妇女有合并症，使她们患PPH的风险更大。确定需要实施多学科和综合计划，以评估出血风险，并在这种情况下适当识别和干预所有PPH。
方法：276名参与者，包括注册护士,产科和家庭医学主治医师和住院医师，高级执业护士，医院妇女卫生部的辅助人员，完成了最初的产科出血计划.
■该程序包括在线教学模块，由训练有素的护士和提供者领导的七个跨学科技能站，和现场模拟。成功完成在线模块是参加技能站的先决条件。所有参与者在计划结束时完成了书面计划评估。
结果：评估后调查的结果表明，参与者对项目的总体有效性评分为4.00中的3.94，以提高跨学科团队对PPH的反应。评论非常积极，参与者表达了在完成该计划后与PPH相关的信心和知识。
结论：一个包含在线教学模块的跨学科项目，互动技能站，和模拟提高了团队对PPH的信心和反应。
方法：在线教学模块与由七个出血相关站组成的跨学科技能计划相结合。
■该项目是在费城妇女卫生部的第四代护理磁铁和婴儿友好型学术医疗中心进行的，宾夕法尼亚。在该中心护理的妇女有合并症，使她们患PPH的风险更大。确定需要实施多学科和综合计划，以评估出血风险，并在这种情况下适当识别和干预所有PPH。
方法：276名参与者，包括注册护士,产科和家庭医学主治医师和住院医师，高级执业护士，医院妇女卫生部的辅助人员，完成了最初的产科出血计划.
■该程序包括在线教学模块，由训练有素的护士和提供者领导的七个跨学科技能站，和现场模拟。成功完成在线模块是参加技能站的先决条件。所有参与者在计划结束时完成了书面计划评估。
结果：评估后调查的结果表明，参与者对项目的总体有效性评分为4.00中的3.94，以提高跨学科团队对PPH的反应。评论非常积极，参与者表达了在完成该计划后与PPH相关的信心和知识。
结论：一个包含在线教学模块的跨学科项目，互动技能站，和模拟提高了团队对PPH的信心和反应。
