Effect of Simulation-Based Postpartum Hemorrhage Training on Team Performance in Senior Anesthesiology Teams

A Prospective Interventional Study Evaluating the Effect of Simulation-Based Postpartum Hemorrhage Training on Team Performance and Crisis Resource Management Skills Among Senior Anesthesiology Residents

This prospective interventional study aims to evaluate the effect of simulation-based postpartum hemorrhage (PPH) training on team performance and crisis resource management skills among senior anesthesiology residents. Participants will undergo a structured high-fidelity simulation training program focused on postpartum hemorrhage management. Performance will be assessed before and after the intervention using validated assessment tools, including crisis resource management scoring systems. The study seeks to determine whether simulation-based training improves clinical decision-making, team communication, and overall performance in obstetric emergencies.

Postpartum hemorrhage (PPH) remains a leading cause of maternal morbidity and mortality worldwide, requiring rapid recognition and effective team-based management. Simulation-based training has emerged as a valuable educational tool to enhance both technical and non-technical skills in high-risk clinical scenarios.

This prospective interventional study is designed to assess the impact of simulation-based postpartum hemorrhage training on team performance and crisis resource management (CRM) skills among senior anesthesiology residents. Participants will take part in a structured high-fidelity simulation program replicating obstetric hemorrhage scenarios.

Performance will be evaluated using validated scoring systems for crisis resource management and team performance, including assessments of leadership, communication, situational awareness, and decision-making. Pre- and post-training evaluations will be conducted to measure the effectiveness of the intervention.

The primary objective is to determine whether simulation-based training improves overall team performance. Secondary outcomes include improvements in communication skills, response time, adherence to clinical protocols, and self-reported confidence levels.

This study aims to contribute to the growing body of evidence supporting simulation-based education in anesthesiology and obstetric emergency management.

Inclusion Criteria:

• Senior anesthesiology residents
• Currently working in the department of anesthesiology and reanimation
• Voluntary participation in the study

Exclusion Criteria:

• Refusal to participate
• Incomplete participation in the simulation session