reducing errors in health care cost-effectiveness of multidisciplinary team training in obstetric emergencies (tosti study); a randomised controlled trial减少错误在卫生保健成本效益的多学科团队训练在产科紧急情况(tosti研究);.pdfVIP

van de Ven et al. BMC Pregnancy and Childbirth 2010, 10:59 /1471-2393/10/59 STUDY PROTOCOL Open Access Reducing errors in health care: cost-effectiveness of multidisciplinary team training in obstetric emergencies (TOSTI study); a randomised controlled trial 1* 2 3 4 1 Joost van de Ven , Saskia Houterman , Rob AJQ Steinweg , Albert JJA Scherpbier , Willy Wijers , Ben William J Mol1,5, S Guid Oei1,6, the TOSTI-trial group Abstract Background: There are many avoidable deaths in hospitals because the care team is not well attuned. Training in emergency situations is generally followed on an individual basis. In practice, however, hospital patients are treated by a team composed of various disciplines. To prevent communication errors, it is important to focus the training on the team as a whole, rather than on the individual. Team training appears to be important in contributing toward preventing these errors. Obstetrics lends itself to multidisciplinary team training. It is a field in which nurses, midwives, obstetricians and paediatricians work together and where decisions must be made and actions must be carried out under extreme time pressure. It is attractive to belief that multidisciplinary team training will reduce the number of errors in obstetrics. The other side of the medal is that many hospitals are buying expensive patient simulators without proper evaluation of the training method. In the Netherlands many hospitals have 1,000 or less annual deliveries. In our small country it might therefore be more cost-effective to train obstetric teams in medical simulation centres with well trained personnel, high fidelity patient simulators, and well defined training programmes. Methods/design: The aim