Wong Cynthia A, Scott Shirley, Jones Robin L, Walzer Jennifer, Geller Stacie
a Department of Anesthesiology , Northwestern University , Chicago , IL , USA .
b Department of Obstetrics and Gynecology , University of Illinois at Chicago , Chicago , IL , USA , and.
J Matern Fetal Neonatal Med. 2016 Mar;29(5):845-9. doi: 10.3109/14767058.2015.1021672. Epub 2015 Sep 4.
The Illinois Department of Public Health mandated that all clinicians who provide care to obstetric patients participate in the Illinois Obstetric Hemorrhage Project. The aim of the current report is to describe change in knowledge among providers engaged in the project, as assessed by pre- and post-tests.
The project, implemented 2008 to 2010, included four components: a written 25-item multiple-choice examination (pre-test), a didactic lecture, skill stations (for teaching blood loss estimation), and a simulation drill and debriefing. Participants completed a post-test 6 months later. Pre- and post-test examination scores were compared.
Data from 95 hospitals are included in this analysis (9456 paired test results). The proportion of participants who scored ≥88% correct answers increased from 10.9% on the pre-test to 49.1% on the post-test (p < 0.0001). Registered nurses made greater improvements in test scores than anesthesia and obstetric providers (p < 0.0001).
The Illinois Obstetric Hemorrhage Project was successful in improving knowledge of obstetric hemorrhage in a large number of providers with different expertise and experience levels. Further long-term study is essential to determine whether the skills acquired during the Project contribute to improved obstetric hemorrhage outcomes for the women of Illinois.
伊利诺伊州公共卫生部规定，所有为产科患者提供护理的临床医生都要参与伊利诺伊州产科出血项目。本报告的目的是描述参与该项目的医疗服务提供者在知识方面的变化，通过前后测试进行评估。
该项目于2008年至2010年实施，包括四个部分：一份25道题的书面多项选择题考试（前测）、一次教学讲座、技能培训站（用于教授失血量估计）以及一次模拟演练和总结汇报。参与者在6个月后完成后测。比较前后测的考试成绩。
本分析纳入了来自95家医院的数据（9456对测试结果）。答对率≥88%的参与者比例从前测的10.9%增至后测的49.1%（p<0.0001）。注册护士在考试成绩上的提高幅度大于麻醉科和产科医疗服务提供者（p<0.0001）。
伊利诺伊州产科出血项目成功提高了大量不同专业知识和经验水平的医疗服务提供者对产科出血的认识。进一步的长期研究对于确定该项目期间获得的技能是否有助于改善伊利诺伊州女性的产科出血结局至关重要。
