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Am. J. Obstet. Gynecol. · Apr 2010
Comparative StudyThe effect of live and web-based education on the accuracy of blood-loss estimation in simulated obstetric scenarios.
- Paloma Toledo, Robert J McCarthy, Carol A Burke, Kristopher Goetz, Cynthia A Wong, and William A Grobman.
- Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
- Am. J. Obstet. Gynecol. 2010 Apr 1; 202 (4): 400.e1-5.
ObjectiveVisual 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 DesignMultidisciplinary 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.ResultsAmong 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%).ConclusionOur study supports the use of live or web-based training to improve blood loss estimation accuracy.Copyright 2010 Mosby, Inc. All rights reserved.
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