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Research ArticleINNOVATIVE PROGRAM
Open Access

Ochsner Obstetrics and Gynecology Simulation Program: A Review of the Literature and Description of a Multidisciplinary Simulation Program Targeting Management of Obstetric Emergencies

Wyeth Lawson, Michael Smith and Brigid McCue
Ochsner Journal December 2020, 20 (4) 394-399; DOI: https://doi.org/10.31486/toj.20.0014
Wyeth Lawson
1Department of Obstetrics and Gynecology, Ochsner Clinic Foundation, ,
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Michael Smith
2Department of Emergency Medicine, Ochsner Clinic Foundation, ,
3The University of Queensland Faculty of Medicine, Ochsner Clinical School, ,
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Brigid McCue
1Department of Obstetrics and Gynecology, Ochsner Clinic Foundation, ,
3The University of Queensland Faculty of Medicine, Ochsner Clinical School, ,
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  • For correspondence: brigid.mccue@ochsner.org
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    Figure 1.

    The Ochsner Clinical Simulation and Patient Safety Center is equipped with high-fidelity models capable of simulated birth and advanced maternal and neonatal resuscitation. Here, trainees participate in a postpartum hemorrhage simulation.

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    Figure 2.

    The mission of the Ochsner Clinical Simulation and Patient Safety Center is to improve patient safety and clinical outcomes through delivery of high-quality experiential integrated team-based learning. Here, participants learn critical lifesaving skills during a simulated neonatal resuscitation.

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    Table.

    Examples of Ochsner Baptist In-Situ Simulations

    TopicLocationSafety Barrier Identified
    Placental abruptionLabor and delivery unitCommunication via personal cell phones found ineffective for emergencies
    Eclamptic seizureAntepartumAttendings not receiving code notification
    Eclamptic seizureObstetric emergency roomMagnesium not stocked in Pyxis
    Eclamptic seizurePostpartumWrong number for code operator; lorazepam not stocked in Pyxis
    Severe hypertensionAntepartumCode button deactivated
    Precipitous preterm deliveryAntepartumUnknown location of warmer; unable to override elevator
    Precipitous deliveryObstetric emergency roomStat pack inadequate
    Postpartum hemorrhageOperating roomMassive transfusion protocol order set via telephone communication improved response time
    Cord prolapseAlternative birth centerRequires key to access; bed does not fit through front door
    Car deliveryGarage“Code stork” confused with “code stroke”
    Malignant hyperthermiaOperating roomResuscitation box disorganized
    FireOperating roomLocation of oxygen shutoff unknown
    Malignant hyperthermiaOperating roomOptimal medication not available at Ochsner Baptist
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Ochsner Journal: 20 (4)
Ochsner Journal
Vol. 20, Issue 4
Dec 2020
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Ochsner Obstetrics and Gynecology Simulation Program: A Review of the Literature and Description of a Multidisciplinary Simulation Program Targeting Management of Obstetric Emergencies
Wyeth Lawson, Michael Smith, Brigid McCue
Ochsner Journal Dec 2020, 20 (4) 394-399; DOI: 10.31486/toj.20.0014

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Ochsner Obstetrics and Gynecology Simulation Program: A Review of the Literature and Description of a Multidisciplinary Simulation Program Targeting Management of Obstetric Emergencies
Wyeth Lawson, Michael Smith, Brigid McCue
Ochsner Journal Dec 2020, 20 (4) 394-399; DOI: 10.31486/toj.20.0014
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    • INTRODUCTION
    • SIMULATION TRAINING
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Keywords

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