Obstetric hemorrhage and surgical emergencies
training workshops on fresh cadavers and simulators
result in high application in daily practices and
decreased patient referral

Köle, Emre; Akar, Bertan; Caliskan, Eray; Ceylan, Yasin; kahraman, alper

doi:10.4274/tjod.galenos.2022.92962

Obstetric hemorrhage and surgical emergencies training workshops on fresh cadavers and simulators result in high application in daily practices and decreased patient referral

Bertan AKAR, (İstinye Üniversitesi, Tıp Fakültesi, Özel Kocaeli Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Kocaeli, Türkiye)

Yasin CEYLAN, (Sağlık Bilimleri Üniversitesi, İstanbul Bağcılar Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, İstanbul, Türkiye)

Alper KAHRAMAN, (Sağlık Bilimleri Üniversitesi, İstanbul Haseki Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, İstanbul, Türkiye)

Emre KÖLE, (Alanya Alaaddin Keykubat Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Antalya, Türkiye)

Eray ÇALIŞKAN (Okan Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, İstanbul, Türkiye)

Turkish Journal of Obstetrics and Gynecology

4 0

Yıl: 2022 Cilt: 19 Sayı: 2 Sayfa Aralığı: 118 - 123 Metin Dili: İngilizce DOI: 10.4274/tjod.galenos.2022.92962 İndeks Tarihi: 18-07-2022

Obstetric hemorrhage and surgical emergencies training workshops on fresh cadavers and simulators result in high application in daily practices and decreased patient referral

Öz:

Objective: In this study, we aimed to evaluate the effects of obstetric emergencies workshops combining theoretical lectures, simulation trainers and fresh cadaver models on daily practices and referrals of obstetrics and gynecology specialists. Materials and Methods: This is a prospective observational study involving obstetrics and gynecology specialists attending the Turkish Society of Obstetrics and Gynecology endorsed obstetrics hemorrhage management courses held in 2018 and 2019. The training course is an annually organized two-day course, one day allotted to theoretical lectures and the other day to practical training on both simulators and fresh cadavers. Trainees participating in the course was surveyed with an anonymous questionnaire on their motivation to attend the course and their juridical history of obstetric patient management. Attendees were asked to disclose whether they had ever independently performed the procedures stated in the questionnaire or not, before commencing the course and 1 year after attending the course. Results: Among the attendees 22% (n=32) had at least one obstetrical malpractice lawsuit and 36.1% (n=52) were accused of Health Care Complaints Comission. The main motivation of the attendees for taking this course was Professional development followed by reducing maternal mortality and morbidity and avoiding malpractice. One year after the course, attendees applying uterine devascularization surgery increased by 36.1% (52/144), uterine compression sutures increased by 52.7% (76/144), and ability to apply uterine balloon tamponade increased by 59.7% (86/144). Besides improvement in other obstetric surgical skills an indirect effect seen that the attandees operated on high-risk cases increased in placenta previa (15.3%), placenta acreata spectrum (30.5%), operative deliveries (27.7%), peripartum hysterectomy (24.9%) and relaparotomy for postpartum hemorrhage (34.7%). Conclusion: Opportunities of attending well organized fresh cadaveric workshops on managing postpartum hemorrhage and other obstetric surgeries, can quickly adapt to daily practice, restore the professional confidence of obstetric and gynecology specialists, and eventually decrease patient referral.

Anahtar Kelime:

Taze kadavralar ve simülatörler üzerinde obstetrik kanama ve cerrahi acil durumlar eğitim atölyeleri, günlük pratikte yüksek uygulama ile sonuçlanır ve hasta sevkini azaltır

Öz:

Amaç: Bu çalışmada teorik dersler, simülasyon eğitmenleri ve taze kadavra modellerini bir araya getiren obstetrik acil durum çalıştaylarının kadın hastalıkları ve doğum uzmanlarının günlük uygulamalarına ve sevklerine etkisini değerlendirmeyi amaçladık. Gereç ve Yöntemler: Türk Kadın Hastalıkları ve Doğum Derneği onaylı obstetrik kanama yönetimi kurslarına devam eden kadın doğum ve kadın hastalıkları uzmanlarının 2018 ve 2019 yıllarında katıldığı prospektif gözlemsel bir çalışmadır. Eğitim kursu, yılda bir kez düzenlenen iki günlük bir kurs olup, bir gün teorik derslere, diğer gün ise hem simülatörler hem de taze kadavralar üzerinde uygulamalı eğitime ayrıldı. Kursa katılan kursiyerlere kursa katılma motivasyonları ve obstetrik hasta yönetimi ile ilgili hukuki geçmişleri hakkında isimsiz bir anket uygulandı. Katılımcılardan kursa başlamadan önce ve kursa katıldıktan 1 yıl sonra ankette belirtilen işlemleri bağımsız olarak yapıp yapmadıkları soruldu. Bulgular: Katılımcıların %22’si (n=32) en az bir obstetrik malpraktis davasına sahip ve %36,1’i (n=52) Sağlık Şikayet Komisyonu’na şikayet edilmişti. Katılımcıların bu eğitimi almalarının ana motivasyonu, mesleki gelişim, ardından anne ölüm ve hastalık oranlarını azaltmak ve malpraktisten kaçınmaktı. Kurstan bir yıl sonra uterus devaskülarizasyon cerrahisi uygulayanların oranı %36,1 (52/144), uterus kompresyon sütürleri %52,7 (76/144) ve uterus balon tamponadı uygulama yeteneği %59,7 (86/144) arttı. Diğer obstetrik cerrahi becerilerindeki gelişmelerin yanı sıra yüksek riskli olgularda ameliyata girenlerde dolaylı bir etki görüldü; plasenta previa (%15,3), plasenta akreata spektrumu (%30,5), operatif doğumlar (%27,7), peripartum histerektomi (%24,9), doğum sonu kanama için relaparotomi (%34,7). Sonuç: Doğum sonu kanama ve diğer obstetrik ameliyatları yönetme konusunda iyi organize edilmiş taze kadavra atölyelerine katılma fırsatları, günlük uygulamaya hızla adapte edilir, doğum ve jinekoloji uzmanının profesyonel güvenini geri kazandırır ve sonunda hasta sevkini azaltır.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Akar B, Ceylan Y, kahraman a, Köle E, Caliskan E (2022). Obstetric hemorrhage and surgical emergencies training workshops on fresh cadavers and simulators result in high application in daily practices and decreased patient referral. , 118 - 123. 10.4274/tjod.galenos.2022.92962
Chicago	Akar Bertan,Ceylan Yasin,kahraman alper,Köle Emre,Caliskan Eray Obstetric hemorrhage and surgical emergencies training workshops on fresh cadavers and simulators result in high application in daily practices and decreased patient referral. (2022): 118 - 123. 10.4274/tjod.galenos.2022.92962
MLA	Akar Bertan,Ceylan Yasin,kahraman alper,Köle Emre,Caliskan Eray Obstetric hemorrhage and surgical emergencies training workshops on fresh cadavers and simulators result in high application in daily practices and decreased patient referral. , 2022, ss.118 - 123. 10.4274/tjod.galenos.2022.92962
AMA	Akar B,Ceylan Y,kahraman a,Köle E,Caliskan E Obstetric hemorrhage and surgical emergencies training workshops on fresh cadavers and simulators result in high application in daily practices and decreased patient referral. . 2022; 118 - 123. 10.4274/tjod.galenos.2022.92962
Vancouver	Akar B,Ceylan Y,kahraman a,Köle E,Caliskan E Obstetric hemorrhage and surgical emergencies training workshops on fresh cadavers and simulators result in high application in daily practices and decreased patient referral. . 2022; 118 - 123. 10.4274/tjod.galenos.2022.92962
IEEE	Akar B,Ceylan Y,kahraman a,Köle E,Caliskan E "Obstetric hemorrhage and surgical emergencies training workshops on fresh cadavers and simulators result in high application in daily practices and decreased patient referral." , ss.118 - 123, 2022. 10.4274/tjod.galenos.2022.92962
ISNAD	Akar, Bertan vd. "Obstetric hemorrhage and surgical emergencies training workshops on fresh cadavers and simulators result in high application in daily practices and decreased patient referral". (2022), 118-123. https://doi.org/10.4274/tjod.galenos.2022.92962

APA	Akar B, Ceylan Y, kahraman a, Köle E, Caliskan E (2022). Obstetric hemorrhage and surgical emergencies training workshops on fresh cadavers and simulators result in high application in daily practices and decreased patient referral. Turkish Journal of Obstetrics and Gynecology, 19(2), 118 - 123. 10.4274/tjod.galenos.2022.92962
Chicago	Akar Bertan,Ceylan Yasin,kahraman alper,Köle Emre,Caliskan Eray Obstetric hemorrhage and surgical emergencies training workshops on fresh cadavers and simulators result in high application in daily practices and decreased patient referral. Turkish Journal of Obstetrics and Gynecology 19, no.2 (2022): 118 - 123. 10.4274/tjod.galenos.2022.92962
MLA	Akar Bertan,Ceylan Yasin,kahraman alper,Köle Emre,Caliskan Eray Obstetric hemorrhage and surgical emergencies training workshops on fresh cadavers and simulators result in high application in daily practices and decreased patient referral. Turkish Journal of Obstetrics and Gynecology, vol.19, no.2, 2022, ss.118 - 123. 10.4274/tjod.galenos.2022.92962
AMA	Akar B,Ceylan Y,kahraman a,Köle E,Caliskan E Obstetric hemorrhage and surgical emergencies training workshops on fresh cadavers and simulators result in high application in daily practices and decreased patient referral. Turkish Journal of Obstetrics and Gynecology. 2022; 19(2): 118 - 123. 10.4274/tjod.galenos.2022.92962
Vancouver	Akar B,Ceylan Y,kahraman a,Köle E,Caliskan E Obstetric hemorrhage and surgical emergencies training workshops on fresh cadavers and simulators result in high application in daily practices and decreased patient referral. Turkish Journal of Obstetrics and Gynecology. 2022; 19(2): 118 - 123. 10.4274/tjod.galenos.2022.92962
IEEE	Akar B,Ceylan Y,kahraman a,Köle E,Caliskan E "Obstetric hemorrhage and surgical emergencies training workshops on fresh cadavers and simulators result in high application in daily practices and decreased patient referral." Turkish Journal of Obstetrics and Gynecology, 19, ss.118 - 123, 2022. 10.4274/tjod.galenos.2022.92962
ISNAD	Akar, Bertan vd. "Obstetric hemorrhage and surgical emergencies training workshops on fresh cadavers and simulators result in high application in daily practices and decreased patient referral". Turkish Journal of Obstetrics and Gynecology 19/2 (2022), 118-123. https://doi.org/10.4274/tjod.galenos.2022.92962