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Effect of on‐site training on the accuracy of blood loss estimation in a simulated obstetrics environment
Author(s) -
Mbachu Ikechukwu I.,
Udigwe Gerald O.,
Ezeama Chukwuemeka O.,
Eleje George U.,
Eke Ahizechukwu C.
Publication year - 2017
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.12133
Subject(s) - medicine , obstetrics and gynaecology , blood loss , estimation , stage (stratigraphy) , obstetrics , emergency medicine , surgery , pregnancy , paleontology , genetics , management , economics , biology
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.