Development of the TeamOBS-PPH - targeting clinical performance in postpartum hemorrhage
Introduction: This study aimed to develop a valid and reliable TeamOBS-PPH tool for assessing clinical performance in the management of postpartum hemorrhage (PPH). The tool was evaluated using video-recordings of teams managing PPH in both real-life and simulated settings. Material and methods: A D...
Published in: | Acta Obstetricia et Gynecologica Scandinavica |
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2018
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Online Access: | https://pure.au.dk/portal/da/publications/development-of-the-teamobspph--targeting-clinical-performance-in-postpartum-hemorrhage(0a695a02-b156-4028-a4f3-f02c916454d4).html https://doi.org/10.1111/aogs.13336 |
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ftuniaarhuspubl:oai:pure.atira.dk:publications/0a695a02-b156-4028-a4f3-f02c916454d4 2023-12-31T10:08:24+01:00 Development of the TeamOBS-PPH - targeting clinical performance in postpartum hemorrhage Brogaard, Lise Hvidman, Lone Hinshaw, Kim Kierkegaard, Ole Manser, Tanja Musaeus, Peter Arafeh, Julie Daniels, Kay I Judy, Amy E Uldbjerg, Niels 2018-06 https://pure.au.dk/portal/da/publications/development-of-the-teamobspph--targeting-clinical-performance-in-postpartum-hemorrhage(0a695a02-b156-4028-a4f3-f02c916454d4).html https://doi.org/10.1111/aogs.13336 eng eng https://pure.au.dk/portal/da/publications/development-of-the-teamobspph--targeting-clinical-performance-in-postpartum-hemorrhage(0a695a02-b156-4028-a4f3-f02c916454d4).html info:eu-repo/semantics/restrictedAccess Brogaard , L , Hvidman , L , Hinshaw , K , Kierkegaard , O , Manser , T , Musaeus , P , Arafeh , J , Daniels , K I , Judy , A E & Uldbjerg , N 2018 , ' Development of the TeamOBS-PPH - targeting clinical performance in postpartum hemorrhage ' , Acta Obstetricia et Gynecologica Scandinavica , vol. 97 , no. 6 , pp. 677-687 . https://doi.org/10.1111/aogs.13336 Adult Clinical Competence Consensus Delphi Technique Europe Female Humans Patient Care Team/standards Patient Simulation Postpartum Hemorrhage/prevention & control Pregnancy Reproducibility of Results Video Recording article 2018 ftuniaarhuspubl https://doi.org/10.1111/aogs.13336 2023-12-07T00:02:39Z Introduction: This study aimed to develop a valid and reliable TeamOBS-PPH tool for assessing clinical performance in the management of postpartum hemorrhage (PPH). The tool was evaluated using video-recordings of teams managing PPH in both real-life and simulated settings. Material and methods: A Delphi panel consisting of 12 obstetricians from the UK, Norway, Sweden, Iceland, and Denmark achieved consensus on (i) the elements to include in the assessment tool, (ii) the weighting of each element, and (iii) the final tool. The validity and reliability were evaluated according to Cook and Beckman. (Level 1) Four raters scored four video-recordings of in situ simulations of PPH. (Level 2) Two raters scored 85 video-recordings of real-life teams managing patients with PPH ≥1000 mL in two Danish hospitals. (Level 3) Two raters scored 15 video-recordings of in situ simulations of PPH from a US hospital. Results: The tool was designed with scores from 0 to 100. (Level 1) Teams of novices had a median score of 54 (95% CI 48–60), whereas experienced teams had a median score of 75 (95% CI 71–79; p < 0.001). (Level 2) The intra-rater [intra-class correlation (ICC) = 0.96] and inter-rater (ICC = 0.83) agreements for real-life PPH were strong. The tool was applicable in all cases: atony, retained placenta, and lacerations. (Level 3) The tool was easily adapted to in situ simulation settings in the USA (ICC = 0.86). Conclusion: The TeamOBS-PPH tool appears to be valid and reliable for assessing clinical performance in real-life and simulated settings. The tool will be shared as the free TeamOBS App. Article in Journal/Newspaper Iceland Aarhus University: Research Acta Obstetricia et Gynecologica Scandinavica 97 6 677 687 |
institution |
Open Polar |
collection |
Aarhus University: Research |
op_collection_id |
ftuniaarhuspubl |
language |
English |
topic |
Adult Clinical Competence Consensus Delphi Technique Europe Female Humans Patient Care Team/standards Patient Simulation Postpartum Hemorrhage/prevention & control Pregnancy Reproducibility of Results Video Recording |
spellingShingle |
Adult Clinical Competence Consensus Delphi Technique Europe Female Humans Patient Care Team/standards Patient Simulation Postpartum Hemorrhage/prevention & control Pregnancy Reproducibility of Results Video Recording Brogaard, Lise Hvidman, Lone Hinshaw, Kim Kierkegaard, Ole Manser, Tanja Musaeus, Peter Arafeh, Julie Daniels, Kay I Judy, Amy E Uldbjerg, Niels Development of the TeamOBS-PPH - targeting clinical performance in postpartum hemorrhage |
topic_facet |
Adult Clinical Competence Consensus Delphi Technique Europe Female Humans Patient Care Team/standards Patient Simulation Postpartum Hemorrhage/prevention & control Pregnancy Reproducibility of Results Video Recording |
description |
Introduction: This study aimed to develop a valid and reliable TeamOBS-PPH tool for assessing clinical performance in the management of postpartum hemorrhage (PPH). The tool was evaluated using video-recordings of teams managing PPH in both real-life and simulated settings. Material and methods: A Delphi panel consisting of 12 obstetricians from the UK, Norway, Sweden, Iceland, and Denmark achieved consensus on (i) the elements to include in the assessment tool, (ii) the weighting of each element, and (iii) the final tool. The validity and reliability were evaluated according to Cook and Beckman. (Level 1) Four raters scored four video-recordings of in situ simulations of PPH. (Level 2) Two raters scored 85 video-recordings of real-life teams managing patients with PPH ≥1000 mL in two Danish hospitals. (Level 3) Two raters scored 15 video-recordings of in situ simulations of PPH from a US hospital. Results: The tool was designed with scores from 0 to 100. (Level 1) Teams of novices had a median score of 54 (95% CI 48–60), whereas experienced teams had a median score of 75 (95% CI 71–79; p < 0.001). (Level 2) The intra-rater [intra-class correlation (ICC) = 0.96] and inter-rater (ICC = 0.83) agreements for real-life PPH were strong. The tool was applicable in all cases: atony, retained placenta, and lacerations. (Level 3) The tool was easily adapted to in situ simulation settings in the USA (ICC = 0.86). Conclusion: The TeamOBS-PPH tool appears to be valid and reliable for assessing clinical performance in real-life and simulated settings. The tool will be shared as the free TeamOBS App. |
format |
Article in Journal/Newspaper |
author |
Brogaard, Lise Hvidman, Lone Hinshaw, Kim Kierkegaard, Ole Manser, Tanja Musaeus, Peter Arafeh, Julie Daniels, Kay I Judy, Amy E Uldbjerg, Niels |
author_facet |
Brogaard, Lise Hvidman, Lone Hinshaw, Kim Kierkegaard, Ole Manser, Tanja Musaeus, Peter Arafeh, Julie Daniels, Kay I Judy, Amy E Uldbjerg, Niels |
author_sort |
Brogaard, Lise |
title |
Development of the TeamOBS-PPH - targeting clinical performance in postpartum hemorrhage |
title_short |
Development of the TeamOBS-PPH - targeting clinical performance in postpartum hemorrhage |
title_full |
Development of the TeamOBS-PPH - targeting clinical performance in postpartum hemorrhage |
title_fullStr |
Development of the TeamOBS-PPH - targeting clinical performance in postpartum hemorrhage |
title_full_unstemmed |
Development of the TeamOBS-PPH - targeting clinical performance in postpartum hemorrhage |
title_sort |
development of the teamobs-pph - targeting clinical performance in postpartum hemorrhage |
publishDate |
2018 |
url |
https://pure.au.dk/portal/da/publications/development-of-the-teamobspph--targeting-clinical-performance-in-postpartum-hemorrhage(0a695a02-b156-4028-a4f3-f02c916454d4).html https://doi.org/10.1111/aogs.13336 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Brogaard , L , Hvidman , L , Hinshaw , K , Kierkegaard , O , Manser , T , Musaeus , P , Arafeh , J , Daniels , K I , Judy , A E & Uldbjerg , N 2018 , ' Development of the TeamOBS-PPH - targeting clinical performance in postpartum hemorrhage ' , Acta Obstetricia et Gynecologica Scandinavica , vol. 97 , no. 6 , pp. 677-687 . https://doi.org/10.1111/aogs.13336 |
op_relation |
https://pure.au.dk/portal/da/publications/development-of-the-teamobspph--targeting-clinical-performance-in-postpartum-hemorrhage(0a695a02-b156-4028-a4f3-f02c916454d4).html |
op_rights |
info:eu-repo/semantics/restrictedAccess |
op_doi |
https://doi.org/10.1111/aogs.13336 |
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Acta Obstetricia et Gynecologica Scandinavica |
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container_issue |
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