412. Simulation-based education at the heart of the matter

• Published in: Pregnancy hypertension 2018-10, Vol.13, p.S148-S148
• Main Authors: Munro, Kerry, Gibson, Harry, Brock, Lucy, Etomi, Oseme, Prinja, Paarul, Laws-Chapman, Colette, Banerjee, Anita
• Format: Article
• Language: English
• ISSN: 2210-7789; 2210-7797
• DOI: 10.1016/j.preghy.2018.08.439

Cardiac disease in pregnancy remains the leading cause of mortality and morbidly worldwide. Recognition and management can be challenging. In response, we developed a multi-disciplinary simulation-based training programme; 50% practical/technical skills and 50% human-factors/non-technical skills (communication, leadership and teamwork). Utilising a systematic ABCDE approach, knowing & understanding the symptoms, signs & management of cardiac disease in pregnancy and be aware of the important human factors to improve patient safety. Each scenario involved a simulated-patient, played by the Maternal Simulator (Noelle®), an embedded practitioner and course participants (3–5) comprising of midwives, obstetricians, physicians and anaesthetists. Scenarios included acute coronary syndrome, pulmonary oedema, aortic dissection and cardiac arrest. This study evaluated the educational impact of six one-day courses with healthcare staff (n = 84). There was an improvement in both participants’ knowledge, clinical management of cardiac disease in pregnancy and an improvement in a validated and reliable self-efficacy human-factors toolkit; I am confident in my knowledge of the physiological changes of the heart in pregnancy. The chi-square statistic was 15.4189. The p-value was