The National Pregnancy Resuscitation Program (PRP): Development of a Simulation-based Maternal Cardiac Arrest Program for Credentialing Specialists and First Responders

摘要 在治疗母亲心脏骤停(MCA)患者时，非标准化培训导致了医疗事故 错误和孕妇没有得到最佳治疗--通常是因为医疗救护人员没有 提供正确的护理，或以错误的顺序或错误的时间提供护理。具有结构化的和 循证模拟培训包，可应用于跨医学学科、孕期护理 经历过心脏骤停的女性可以得到改善。这一合作伙伴关系的目标是由贝勒 医学院、圣安东尼奥儿童医院(CHofSA)模拟中心和西北大学 费恩伯格大学医学院，正在开发和传播全国妊娠复苏 程序(PRP)。以模拟为基础的培训将解决目前所有级别的行业培训差距 产妇护理，从急救人员到住院急救医务人员和专家。 作为这一举措的一部分，提供了两个模拟培训包，并配有新的/经修改的实物产妇 将创建模拟器和其他模拟工具：院外MCA(OHMCA；用于急救人员)和 医院内MCA(IHMCA；适用于产科、急诊、新生儿和儿童医院的护士和医生 重症监护病房)。该项目将分三个阶段实施： 阶段1：开发课程，使用专家小组确定基于证据的最佳方案 与OHMCA和IHMCA一起使用的实践、模拟器和其他工具的开发 课程。 阶段2：测试课程/课程工具的形成性测试、教师的创建和试点测试 课程，并为院外急救员和院内急救员提供可靠和经随机对照试验验证的MCA培训 医院提供者。 阶段3：传播：制作用于公共传播的MCA教学视频，传播 全国范围内为急救人员和住院医务人员颁发证书的PRP课程，以及 通过确定、协调和收集具体数据来确定和改善孕产妇结局 在MCA上。 在院校医学教育工作者和专业协会已经承诺参与的情况下， 该提案旨在让PRP被广泛接受和利用，最终改善对MCA患者的护理。

Abstract Non-standardized training when treating patients for maternal cardiac arrest (MCA), has resulted in medical errors and pregnant women are not receiving optimal treatment -- often because a medical responder did not provide the right care, or provided care in the wrong sequence or at the wrong time. With a structured and evidence-based simulation training package that can be applied across medical disciplines, care of pregnant women who experience cardiac arrest can be improved. The aim of this partnership, consisting of Baylor College of Medicine, The Children’s Hospital of San Antonio (CHofSA) Simulation Center, and Northwestern University Feinberg School of Medicine, is to develop and disseminate the National Pregnancy Resuscitation Program (PRP). The simulation-based training will address current industry training gaps at all levels of maternal care, from first responders to in-hospital emergency medical staff and specialists. As part of this initiative, two simulation training packages, accompanied by new/modified physical maternal simulators and other simulation tools, will be created: Out-of-hospital MCA (OHMCA; for first responders) and In-hospital MCA (IHMCA; for hospital based nurses and physicians in obstetric, emergency, neonatal and intensive care departments). The project will be implemented in three phases: Phase 1: Development Development of a curriculum using an expert panel to identify evidence-based best practices, development of simulators and other tools to be used in conjunction with OHMCA and IHMCA curricula. Phase 2: Testing Formative testing of curriculum/curriculum tools, creation and pilot testing of an instructor course, and conduct of reliable and RCT-validated MCA training for out-of-hospital first responders and in- hospital providers. Phase 3: Dissemination Creation of an MCA instructional video for public dissemination, dissemination of a PRP curriculum nationwide for purposes of credentialing first responders and in-hospital medical staff, and identification and improvement of maternal outcomes by identifying, coordinating and collecting specific data on MCA. With the engagement already promised by institutional medical educators and professional associations, this proposal aims to have the PRP be broadly accepted and utilized, ultimately improving care of MCA patients.