The effect of live and web-based education on the accuracy of blood-loss estimation in simulated obstetric scenarios

Am J Obstet Gynecol. 2010 Apr;202(4):400.e1-5. doi: 10.1016/j.ajog.2009.10.881. Epub 2009 Dec 29.

Abstract

Objective: Visual estimation of blood loss has been shown to be inaccurate. The objective of this study was to evaluate the impact of a didactic training program on the accuracy of the estimation of blood loss and to compare the effectiveness of training provided by a web-based vs live session.

Study design: Multidisciplinary labor and delivery unit personnel participated in live or web-based training. Both sessions comprised a 5-station pretest and posttest. The primary outcome was the accuracy of estimated blood loss in the pretest compared with the posttest with the use of the Mann-Whitney U test.

Results: Among 372 providers, the median improvement between pre- and posttest results was 34% (95% confidence interval, 10-57%; P < .001). This improvement did not differ significantly between the live sessions and web-based sessions (4%; 95% confidence interval, -10% to 12%).

Conclusion: Our study supports the use of live or web-based training to improve blood loss estimation accuracy.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Computer-Assisted Instruction*
  • Female
  • Humans
  • Inservice Training / methods*
  • Internet*
  • Internship and Residency / methods
  • Medical Staff, Hospital / education
  • Nursing Staff, Hospital / education
  • Obstetric Nursing / education
  • Obstetrics / education*
  • Postpartum Hemorrhage / diagnosis*
  • Pregnancy