Continuity of Care Clinical Trial
Simulation-based training lead to improvements in learning compared to no intervention but little is known of the effects on organizational improvements that are relevant to patient care. This study focused on the effects of training midwives in performing cervical ultrasound scans on continuity of care when managing pregnant women with symptoms of premature onset of labor. Our hypothesis is that simulation-based training can be used to decrease the number of shifts in primary responsible health care practitioner as midwives that are trained in cervical ultrasound scans may manage the patient encounter without engaging a second practitioner (i.e. an obstetrician).
Pregnant women with symptoms of premature onset of labor are typically managed by midwives
and obstetricians but shifts in responsibility in patient care may result in lack of
continuity of care. This may, in turn, result in threats to patient safety and delays in
initiation of treatment due to long wait times.
This study examined the effects of simulation-based ultrasound training on the management of
women with symptoms of pre-mature onset of labor. 12 midwives were randomized to
simulation-based ultrasound training focusing on cervical assessment or no training
(controls). The midwives in the intervention group were trained to an expert criterion on a
high-fidelity transvaginal ultrasound simulator. Once this level was attained, they
continued clinical training until proficiency in performing cervical scans independently.
Proficiency was determined using a previously validated assessment instrument (the Objective
Structured Assessment of Ultrasound Skills) and by sending in pictures for the Fetal
Medicine Foundation certification programme.
The number of responsible health care practitioners providing care for pregnant women with
acute onset of symptoms of premature onset of labor is registered along with time from
arrival at the hospital to medical assessment and treatment is commenced. Differences
between patients treated by the two groups of midwives are compared over a period of 6
months. During this period all patients with symptoms of premature onset of labor are
included, of which only a small proportion are admitted for further examinations and
treatment. The vast majority are expected to be scheduled for ambulatory follow-up.
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Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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