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Learning Objective 1: Discuss the importance of a coordinated approach to handle obstetric emergencies in a timely manner.
Learning Objective 2: Identify the strategies used to assess structure readiness and implementation of an obstetric emergency response team.
An obstetric emergency response team provides a formal process and structure for a multidisciplinary team to work in a coordinated effort and deliver safe and timely interventions during an obstetric emergency. The successful implementation of an obstetric emergency response team requires an understanding of its importance, the support of leadership, and a team training approach to the education of the stakeholders.
The purpose of this project was threefold: first to assess obstetrical team members’ perception of the process to implement an obstetric emergency response, second, to determine if the infrastructure is available to support an obstetric emergency response team and third, to compare the results from two suburban hospitals within the same health system. One of the hospitals had previously implemented an obstetric emergency response team.
METHODOLOGY
An investigator-developed survey, tested for face validity, was distributed to all attendees at team training sessions to help to assess participant perception of the process and structure readiness to implement an obstetric emergency response team. Data were compared between professional groups and between the two suburban hospitals.
RESULTS
The majority of nurses from the hospital that previously implemented an obstetric emergency response team indicated that there was a consistent process and structure in place for an obstetric emergency. More than half the nurses from the other hospital perceived that a consistent process and structure was in place. Nurses and physicians from both hospitals were in agreement that a formalized obstetric emergency response team would facilitate timely intervention.
IMPLICATIONS
Survey data will be used to develop an educational and implementation plan for an obstetric emergency response team in one hospital and to reinforce similar training in the other. The data underscore providers understanding, or lack of, the differentiation between a specialty focused emergency response team and the existing hospital-wide rapid response team.
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