Abstract:
Technical and team competence are both necessary to achieve high reliability during an OB emergency such as a hemorrhage. However, there is a historical reliance on the technical expertise of an individual, not on interdisciplinary teams of experts that are working together on an agreed plan of patient care. Team failures occur because the healthcare teams work in complicated systems, experience human factors of fatigue, multitasking or task fixation, and because safety is assumed and not assured. Until we normalize the training of expert individuals to become expert team members, high reliability especially during emergent patient care will not be achieved. In situ Simulation is a powerful way of improving teamwork and communication, reducing harm, and evaluating interdepartmental processes in your hospital. In Situ Simulation is about the context of your work where gaps in care become readily apparent so that improvement can be achieved.

Objectives:
At the conclusion of this lecture, the participant will be able to:

1. Describe four key individual communication skills (situational awareness, standardized language ie SBAR, Closed Loop Communication, Shared mental model) that all healthcare providers can utilize during an OB Hemorrhage emergency.

2. Recognize "critical junctures" during an OB Hemorrhage emergency where purposeful, standardized team skills (briefing, huddle, debriefing) are essential to assure safety.

3. Through the use of video of In situ Simulations, identify one new process design that was implemented to achieve efficient delivery of blood to a patient during an OB Hemorrhage emergency.

Goal:
The goal of this presentation is to utilize in-situ simulation to train expert individuals to expert team members in managing OB hemorrhage.

Teaching Strategy:
The teaching strategy will be didactic in the form of a PowerPoint presentation, followed by a question and answer period.