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Building Team and Technical Competency for Obstetric Emergencies: The Mobile Obstetric Emergencies Simulator (MOES) System

Deering, Shad MD; Rosen, Michael A. MA; Salas, Eduardo PhD; King, Heidi B. MS

Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare: Fall 2009 - Volume 4 - Issue 3 - pp 166-173
doi: 10.1097/SIH.0b013e31819aaf2a
Technical Reports

The infrequent and high-stakes nature of obstetric emergencies requires staff members to respond quickly and proficiently to a complex and high-stress situation, a situation they have likely had little opportunity to experience. This situation requires a systematic approach to preparing personnel to manage these situations. Therefore, this article seeks to contribute to the growing literature on training programs for obstetric emergencies by documenting the development and implementation of the Mobile Obstetric Emergencies Simulator (MOES) system. MOES is a comprehensive package of simulation technology, standardized curriculum, and instructional features that combines traditional classroom learning activities and simulation-based training on the actual labor and delivery (L&D) ward. Specifically, the MOES system leverages the TeamSTEPPS teamwork training being implemented throughout the US military healthcare system with opportunities to practice teamwork and technical skills using mannequin-based patient simulation embedded within L&D units. The primary goals of this article are twofold. First, this article explicitly identifies the unique training needs for preparing staff for obstetric emergencies through a comprehensive review and synthesis of the literature. Second, this article documents the approach taken in MOES to meet these needs.

From the Andersen Simulation Center (S.D.), Madigan Army Medical Center, Fort Lewis, Washington; Department of Psychology (M.A.R., E.S.), and Institute for Simulation and Training, University of Central Florida, Orlando, Florida; and Office of the Assistant Secretary of Defense (Health Affairs): TRICARE Management Activity (H.B.K.), Alexandria, Virginia.

Reprints: Shad Deering, MD, Madigan Army Medical Center, Fort Lewis, Washington (e-mail:

© 2009 Lippincott Williams & Wilkins, Inc.