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

摘要 在治疗产妇心脏骤停（MCA）患者时，非标准化培训导致医疗 错误和孕妇没有得到最佳治疗-通常是因为医疗反应者没有 提供正确的护理，或以错误的顺序或在错误的时间提供护理。一个结构化和 基于证据的模拟培训包，可应用于各医学学科， 经历心脏骤停的女性可以得到改善。这个伙伴关系的目的，包括贝勒 医学院、圣安东尼奥儿童医院（CHofSA）模拟中心和西北大学 大学范伯格医学院，是制定和传播国家怀孕复苏 程序（PRP）。基于模拟的培训将解决当前行业培训在各级的差距， 产妇护理，从第一反应者到医院急救人员和专家。 作为这一举措的一部分，两个模拟培训包，以及新的/经过修改的物理产妇保健方案， 将创建模拟器和其他模拟工具：院外MCA（OHMCA;用于第一响应者）和 医院内MCA（IHMCA;面向产科、急诊、新生儿和儿科的医院护士和医生） 重症监护室）。该项目将分三个阶段实施： 第一阶段：制定课程利用专家小组确定最佳循证做法 与OHMCA和IHMCA结合使用的模拟器和其他工具的开发 课程。 第2阶段：测试课程/课程工具的形成性测试、讲师的创建和试点测试 课程，并为院外急救人员和院内急救人员进行可靠和经RCT验证的MCA培训。 医院供应商。 制作MCA教学录像供公众传播，传播 PRP课程在全国范围内进行认证的第一反应者和医院医务人员，以及 通过确定、协调和收集具体数据，确定和改善产妇成果 在MCA。 随着机构医学教育工作者和专业协会已经承诺的参与， 该提案旨在使PRP被广泛接受和使用，最终改善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.