Dissertation
Addressing Postpartum Hemorrhage in Iowa Hospital Through Simulation
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2025
Abstract
Background: Postpartum hemorrhage (PPH) is a leading cause of preventable maternal morbidity and mortality worldwide, with women in low-resource settings facing increased risks. Simulation-based education, paired with established clinical guidelines, has been shown to significantly improve healthcare professionals preparedness for managing infrequent but high-stakes emergencies such as PPH.Purpose: This Doctor of Nursing Practice (DNP) project aimed to enhance healthcare providers' preparedness and management skills for PPH through in-situ, multidisciplinary simulation training.Methods: This quality improvement project involved three in-situ, multidisciplinary PPH simulation sessions conducted over six months in a community hospital in Iowa, with a total of 24 participants. Pre-simulation education included a review of PPH risk factors, clinical signs, symptoms, and the American College of Obstetricians and Gynecologists (ACOG) guidelines. Each session included a team debrief. Participants completed pre- and post-simulation self-assessments, and team performance was evaluated using ACOG s PPH Checklist and the Perinatal Emergency Team Response Assessment (PETRA) scale.Findings: All surveyed participants reported increased confidence in their ability to identify and manage PPH. The three teams demonstrated strong adherence to ACOG guidelines, correctly completing at least 80% of ACOG s PPH Checklist. However, PETRA scores highlighted areas for improvement in teamwork, which were addressed during the debrief discussions.Discussion: In-situ simulation offers a valuable, risk-free environment for reinforcing evidence-based practices and multidisciplinary team coordination. This project underscores the effectiveness of simulation training in improving clinical preparedness and can be adapted for use in any facility that provides obstetric care to promote patient safety and high quality outcomes.
Details
- Title: Subtitle
- Addressing Postpartum Hemorrhage in Iowa Hospital Through Simulation
- Creators
- Tara Kutansky - University of Iowa
- Contributors
- Cormac O'Sullivan (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Nurse Anesthesia
- Date degree season
- Spring 2025
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright 2025 Tara Kutansky
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984841034802771
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