PMID- 28236647
OWN - NLM
STAT- MEDLINE
DCOM- 20171020
LR  - 20171020
IS  - 1879-3479 (Electronic)
IS  - 0020-7292 (Linking)
VI  - 137
IP  - 3
DP  - 2017 Jun
TI  - Effect of on-site training on the accuracy of blood loss estimation in a
      simulated obstetrics environment.
PG  - 345-349
LID - 10.1002/ijgo.12133 [doi]
AB  - OBJECTIVE: To determine the effect of on-site training on the accuracy of blood
      loss estimation in a simulated obstetrics environment. METHODS: In a tertiary
      hospital in Nigeria, clinical scenarios were created in April 2013 using known
      blood volumes in an objective structured clinical examination fashion. Doctors
      and nurses who worked in the obstetrics unit observed and recorded the blood
      volume at different clinical stations (first study stage). Subsequently, the
      actual amount of blood was revealed, followed by on-site training on the volume
      capacities of the study instruments. Three weeks later, the second stage of the
      study was performed like the first stage but using different amounts of blood for
      all stations. The differences in the mean errors of blood loss estimation between
      the two stages were determined. RESULTS: The analysis included 144 healthcare
      providers who completed both stages of the study. There were significant
      differences in the mean error of blood loss estimation before and after the
      training session for the following stations: delivery bed (P<0.001), sanitary pad
      1 (P=0.001), sanitary pad 2 (P=0.001), delivery pad (P=0.001), floor (P<0.001),
      and laparotomy pad (P=0.001). CONCLUSION: Periodic education by simulation using 
      clinical scenarios could improve the accuracy of visual blood loss estimation.
CI  - (c) 2017 International Federation of Gynecology and Obstetrics.
FAU - Mbachu, Ikechukwu I
AU  - Mbachu II
AD  - Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Nnewi,
      Nigeria.
FAU - Udigwe, Gerald O
AU  - Udigwe GO
AD  - Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Nnewi,
      Nigeria.
FAU - Ezeama, Chukwuemeka O
AU  - Ezeama CO
AD  - Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Nnewi,
      Nigeria.
FAU - Eleje, George U
AU  - Eleje GU
AD  - Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Nnewi,
      Nigeria.
FAU - Eke, Ahizechukwu C
AU  - Eke AC
AD  - Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine,
      Johns Hopkins Medicine, Baltimore, MD, USA.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20170331
PL  - United States
TA  - Int J Gynaecol Obstet
JT  - International journal of gynaecology and obstetrics: the official organ of the
      International Federation of Gynaecology and Obstetrics
JID - 0210174
SB  - IM
MH  - *Blood Volume
MH  - Clinical Competence
MH  - Education
MH  - Educational Measurement
MH  - Female
MH  - Health Personnel/*education/standards
MH  - Humans
MH  - Nigeria
MH  - Obstetrics/*education/standards
MH  - Postpartum Hemorrhage/*diagnosis
MH  - Prospective Studies
MH  - Reproducibility of Results
MH  - *Simulation Training
OTO - NOTNLM
OT  - Accuracy
OT  - Blood loss
OT  - Simulation
OT  - Training
OT  - Visual estimation
EDAT- 2017/02/27 06:00
MHDA- 2017/10/21 06:00
CRDT- 2017/02/26 06:00
PHST- 2016/08/12 00:00 [received]
PHST- 2016/12/23 00:00 [revised]
PHST- 2016/02/22 00:00 [accepted]
PHST- 2017/02/27 06:00 [pubmed]
PHST- 2017/10/21 06:00 [medline]
PHST- 2017/02/26 06:00 [entrez]
AID - 10.1002/ijgo.12133 [doi]
PST - ppublish
SO  - Int J Gynaecol Obstet. 2017 Jun;137(3):345-349. doi: 10.1002/ijgo.12133. Epub
      2017 Mar 31.