Ignite Creation Date:
2024-05-06 @ 3:27 PM
Last Modification Date:
2024-10-26 @ 1:50 PM
Study NCT ID:
NCT04646486
Status:
COMPLETED
Last Update Posted:
2023-05-11
First Post:
2020-11-12
Brief Title:
Video Debriefing at the Delivery Ward
Sponsor:
University of Aarhus
Organization:
University of Aarhus
Study Overview
Official Title:
Video Debriefing at the Delivery Ward - Empowering Obstetric Teams to High Performance
Status:
COMPLETED
Status Verified Date:
2022-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Postpartum hemorrhage continues to be the leading cause of maternal morbidity and mortality worldwide Successful management of postpartum hemorrhage requires not only administration of the right medicine but also a rapid and coordinated response from a multi-professional team A prerequisite for this is that the individuals are well trained which the investigators believe can be improved by video debriefing of real-life events
The purpose of this study is to improve obstetric teams management of postpartum hemorrhage using video recordings of real-life events in post event debriefings
Cameras are placed in the ceiling of all delivery rooms to record obstetric teams management of postpartum hemorrhage Video recording requires informed consent from all participants After an event the team will review their own performance on video in a debriefing session to improve future performance
The purpose of this study is to improve obstetric teams management of postpartum hemorrhage using video recordings of real-life events in post event debriefings
Cameras are placed in the ceiling of all delivery rooms to record obstetric teams management of postpartum hemorrhage Video recording requires informed consent from all participants After an event the team will review their own performance on video in a debriefing session to improve future performance
Detailed Description:
Background
Video review was first introduced in healthcare in the 1980s to improve emergency teams management of critical situations by having them review their own performance on video in a debriefing session Video debriefing offers an opportunity to review the care delivered in high-stake high-risk and time-critical situations Video debriefing has been found to improve the performance of neonatal resuscitation teams and trauma teams however video debriefing has not generally been accepted in the delivery ward A recent PhD project developed a method for systematically filming obstetric emergencies in two Danish hospitals where informed consent had been obtained from all participants In addition the project developed a method for systematically assessing obstetric teams clinical performance during postpartum hemorrhage
The aim of the study is to examine the effect of real-life video debriefing on obstetric teams management of major postpartum hemorrhage
Material and methods
The study will be conducted at two Danish hospitals Aarhus University Hospital 5000 deliveries per year and Horsens Regional Hospital 2300 deliveries per year
All delivery rooms have been equipped with an automatic recording system that enables filming of all postpartum hemorrhage Video recording requires informed consent from all participants Women expecting to deliver will be invited to provide informed consent for video recording If a woman declines the invitation the cameras will be covered up according to our protocol If video recording occurs all participants will be asked to give informed consent again
Video debriefing will be conducted by educated facilitators of debriefing Debriefings will follow a protocol and will focus on teams clinical performance and non-technical skills The main focus of the debriefing protocol will be clinical debriefing with a main goal of improving clinical performance and patient care
Videos will be included as follows 1 Baseline video inclusion before introducing real-life video debriefings of team performance 2 During the start-up of the debriefings in an exploratory study 3 After real-life video debriefings have been introduced as standard procedure
Perspectives
This project is the first to evaluate the implementation feasibility and use of real-life video debriefing in obstetric care Results from this project can revolutionize the ability to learn from clinical cases and can guide how video can be introduced in ways acceptable to women relatives and healthcare providers
Video review was first introduced in healthcare in the 1980s to improve emergency teams management of critical situations by having them review their own performance on video in a debriefing session Video debriefing offers an opportunity to review the care delivered in high-stake high-risk and time-critical situations Video debriefing has been found to improve the performance of neonatal resuscitation teams and trauma teams however video debriefing has not generally been accepted in the delivery ward A recent PhD project developed a method for systematically filming obstetric emergencies in two Danish hospitals where informed consent had been obtained from all participants In addition the project developed a method for systematically assessing obstetric teams clinical performance during postpartum hemorrhage
The aim of the study is to examine the effect of real-life video debriefing on obstetric teams management of major postpartum hemorrhage
Material and methods
The study will be conducted at two Danish hospitals Aarhus University Hospital 5000 deliveries per year and Horsens Regional Hospital 2300 deliveries per year
All delivery rooms have been equipped with an automatic recording system that enables filming of all postpartum hemorrhage Video recording requires informed consent from all participants Women expecting to deliver will be invited to provide informed consent for video recording If a woman declines the invitation the cameras will be covered up according to our protocol If video recording occurs all participants will be asked to give informed consent again
Video debriefing will be conducted by educated facilitators of debriefing Debriefings will follow a protocol and will focus on teams clinical performance and non-technical skills The main focus of the debriefing protocol will be clinical debriefing with a main goal of improving clinical performance and patient care
Videos will be included as follows 1 Baseline video inclusion before introducing real-life video debriefings of team performance 2 During the start-up of the debriefings in an exploratory study 3 After real-life video debriefings have been introduced as standard procedure
Perspectives
This project is the first to evaluate the implementation feasibility and use of real-life video debriefing in obstetric care Results from this project can revolutionize the ability to learn from clinical cases and can guide how video can be introduced in ways acceptable to women relatives and healthcare providers
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None