Efficacy of Simulation-based Learning for Improving the Accuracy of Blood Loss Estimation in Postpartum Hemorrhage
Journal of the Korean Society of Maternal and Child Health
;
: 253-261, 2016.
Article
in Korean
| WPRIM
| ID: wpr-209437
ABSTRACT
PURPOSE:
This study was designed to investigate an accuracy of visual estimation of blood loss and the usefulness of simulation-based educational program for postpartum hemorrhage.METHODS:
The participants included 12 nurses and 8 residents who were working at Mother and Baby Center of Ewha Womans University Hospital. A simulation-based education for estimation of blood loss was conducted for all of the participants. Tests were performed before and after simulation-based education. Two additional tests were performed two and four weeks after the education. Self-confidence score for blood loss estimation was also investigated by questionnaire.RESULTS:
Significant underestimation was observed in all questions of 450, 700, and 1,100 mL. Median for percent errors of each questions were -50%, -29%, and -9%, respectively. After simulation-based education, accuracy was improved with the medians of -5%, 0%, and 13%. Selfconfidence score in visual estimation of blood loss was also improved significantly after the education. There were no differences by profession or work experience.CONCLUSION:
Significant underestimation was seen before simulation-based education. This study shows that the accuracy of visual blood loss estimation was improved after education. Accurate estimation of blood loss will contribute to a timely diagnosis and resuscitation in postpartum hemorrhage. Our study suggests that periodic education for visual estimation of blood loss in obstetrical hemorrhage might improve accuracy and clinical outcome.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Resuscitation
/
Postpartum Period
/
Diagnosis
/
Education
/
Hemorrhage
/
Postpartum Hemorrhage
/
Learning
/
Mothers
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Maternal and Child Health
Year:
2016
Type:
Article
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