Video Debriefing at the Delivery Ward

NCT04646486 | Completed

• 1 other identifier: TEAMOBS Intervention
• Study Type: interventional
• Target: 420
• Locations: 1 country
• Sites: 2

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.

Conditions

Postpartum Hemorrhage

Outcome Measures

Primary Outcomes (1)

• Clinical performance

  Videos will be assessed by raters using the TeamOBS-PPH checklist (Brogaard L et al, Development of the TeamOBS-PPH - targeting clinical performance in postpartum hemorrhage, 2018)

  All videos will be assessed 2.5 years (autumn 2023)

Secondary Outcomes (17)

• Non-technical performance

  All videos will be assessed 2.5 years (autumn 2023)

• Maternal birth characteristics. Time of day.

  Data will be assessed 2.5 years (autumn 2023)

• Maternal birth characteristics. Blood loss.

  Data will be assessed 2.5 years (autumn 2023)

• Maternal birth characteristics. GA.

  Data will be assessed 2.5 years (autumn 2023)

• Maternal birth characteristics. Birth length (>18 hours).

  Data will be assessed 2.5 years (autumn 2023)

Study Arms (1)

Intervention - Video debriefing

EXPERIMENTAL

Baseline period (year 1): Standard practice. Intervention period (year 2-3): All teams will be assigned to video debriefing.

Behavioral: Video debriefing

Interventions

Video debriefing BEHAVIORAL

Obstetric teams will review their own performance on video in a debriefing session to improve future performance.

Intervention - Video debriefing

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Women with major postpartum hemorrhage (1.0 liter or more).

You may not qualify if:

• Language difficulties requiring an interpreter or translator

Sponsors & Collaborators

• University of Aarhus: lead
• Aarhus University Hospital: collaborator
• Horsens Hospital: collaborator

Study Sites (2)

Aarhus University Hospital

Aarhus N, 8200, Denmark

Location

Horsens Regional Hospital

Horsens, 8700, Denmark

Location

Related Publications (2)

• Brogaard L, Kierkegaard O, Hvidman L, Jensen KR, Musaeus P, Uldbjerg N, Manser T. The importance of non-technical performance for teams managing postpartum haemorrhage: video review of 99 obstetric teams. BJOG. 2019 Jul;126(8):1015-1023. doi: 10.1111/1471-0528.15655. Epub 2019 Mar 27.

  PMID: 30771263 RESULT

• Brogaard L, Hvidman L, Hinshaw K, Kierkegaard O, Manser T, Musaeus P, Arafeh J, Daniels KI, Judy AE, Uldbjerg N. Development of the TeamOBS-PPH - targeting clinical performance in postpartum hemorrhage. Acta Obstet Gynecol Scand. 2018 Jun;97(6):677-687. doi: 10.1111/aogs.13336. Epub 2018 Apr 2.

  PMID: 29485679 RESULT

MeSH Terms

Conditions

Postpartum Hemorrhage

Condition Hierarchy (Ancestors)

Obstetric Labor Complications; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Puerperal Disorders; Uterine Hemorrhage; Hemorrhage; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Masking Details: Videos from baseline period and intervention period will be mixed and assessed at the end of the study. The raters will be blinded to which period the video originates from
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Data - videos of team performance - will be included as follows: Year 1) Baseline. Video inclusion, before introducing real-life video debriefings of team performance (n=200). Year 2) During the start-up of the debriefings (n=20) which will be evaluated in a feasibility study. Year 2-3) Intervention. After real-life video debriefings have been introduced as standard procedure (n=200).

Study Record Dates

• First Submitted: November 12, 2020
• First Posted: November 30, 2020
• Study Start: November 11, 2020
• Primary Completion: December 31, 2022
• Study Completion: December 31, 2022
• Last Updated: May 11, 2023

Record last verified: 2022-09

Data Sharing

• IPD Sharing: Will share
• Time Frame: Study protocol is available at the projects homepage www.teamobs.dk. Trial related documents and data will be available when results are published and until three years after publication of the last study results.
• Access Criteria: Interested parties will be able to request the data by contacting the trial sponsor.

Locations

DK (2)