Improving Clinical Competency to Reduce OB Risk

April 1, 2021
April 1, 2021

HealthStream and MedStar-SiTEL (Simulation Training & Education Lab) have partnered in the development of a highly innovative OB Risk Program. This program features clinical courseware dedicated to improving quality outcomes in obstetrics—one of the most highly litigious environments in healthcare.

Improving OB Clinical Competency to Improve Outcomes

More than 600 American women die annually during or immediately after childbirth. Although maternal obstetric complications develop in only 2% of all births, they account for approximately 47% of all low risk hospital deaths. These types of statistics have placed regulatory agencies—like CMS and Joint Commission—on high alert and have spurred the creation of OB Core Measures in which hospitals will have to report, verify, and account for their obstetrical outcomes. 

Together, HealthStream and MedStar-SiTEL have developed and are delivering an OB Risk program that uses interactive learning to help ensure staff competency. The OB modules contain gaming and micro-simulation techniques to increase learning retention while developing critical thinking skills.

The overarching goal is to decrease adverse patient outcomes, improve care in the perinatal period, and ensure competent mother-baby care through evidence-based training.

Early recognition coupled with accurate treatment by qualified, competent staff are the only safety net mothers and babies have during childbirth.

The OB Risk Program has as its intended audience Obstetricians, Anesthesiologists, Midwives, and Nurses that participate in the care of obstetric patients. The courses address high risk patient safety issues in the perinatal care setting. Program content includes:

  • Electronic Fetal Monitoring (EFM)
  • Hypertension in Pregnancy
  • Postpartum Hemorrhage
  • Shoulder Dystocia
  • Trial of Labor After Caesarean (TOLAC)
  • Effective Communication and Event Disclosure in Obstetrics

In addition, three of the modules—Hypertension in Pregnancy, Postpartum Hemorrhage, and EFM—are also identified by the Alliance for Innovation on Maternal Health (AIM) as effective interventions in the “Prevent 1,000 Maternal Deaths in the U.S. by 2018” initiative which identifies potential maternal and fetal distress.

As one component focused on clinical competency within the full OB Risk Program, the EFM module features a knowledge pre-assessment, virtual microsimulation, a single player EFM game, and four courseware modules designed to move the student from beginning stages to advanced levels of knowledge, practice, and context.

Along with other important features, the program:

  • Reduces risk by providing staff with knowledge and skill to identify early warning signs of maternal and infant distress.
  • Optimizes staff competence by offering an integrated learning program that tests knowledge and critical thinking.
  • Reduces costs and increases efficiency by decreasing time away from the bedside.
  • Maximizes team performance by integrating team-collaboration opportunities throughout training, providing simulated scenarios from various points of view.
  • Covers micro-simulation for EFM Clinical Reasoning.

Total CE hours will be provided once the entire series is developed and will have National Nursing CE and National CME. The EFM module is currently available.