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A Multidisciplinary Obstetric Trauma Resuscitation Using In Situ High-Fidelity Simulation

Pak, Kellyn May RN, MSN, MICN, CEN; Hardasmalani, Madhu MD

Advanced Emergency Nursing Journal: January/March 2015 - Volume 37 - Issue 1 - p 51–57
doi: 10.1097/TME.0000000000000045

Emergency nurses frequently encounter critically injured patients who require the involvement of multiple disciplines and specialties. There is a high probability of errors jeopardizing patient safety in such a hectic work environment. To identify patient safety risks, a multidisciplinary in situ simulation drill was conducted that involved physicians and nurses from different specialties including trauma, obstetrics, neonatal intensive care, and emergency care. After the drill, each individual specialty was debriefed, followed by a large-group debriefing that included all specialties. Corrective actions were implemented in the identified areas of weakness. Emergency nursing identified patient safety risks from a lack of familiarity with equipment, poor communication, and poor documentation. This project demonstrated that multidisciplinary in situ simulation was an effective method of identification of patient safety risks that arise during trauma resuscitation. Follow-up multidisciplinary in situ simulation drills will assess the efficacy of our interventions and staff education.

Office of Emergency Management (Ms Pak) and Department of Emergency Medicine (Dr Hardasmalani), LAC + USC Medical Center, Los Angeles, California.

Corresponding Author: Kellyn May Pak, RN, MSN, MICN, CEN, Office of Emergency Management, LAC + USC Medical Center, 1200 North State St, General Hospital 1350, Los Angeles, CA 91801 (

The authors acknowledge and recognize the following departments at LAC + USC Medical Center for their support and participation in this project: emergency medicine, obstetrics, neonatal intensive care, and anesthesia. The authors also thank Trauma Program and Trauma Registry staff.

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (

Disclosure: The authors report no conflicts of interest.

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