FindTrial
Sign In

The Labor and Delivery Teamwork Intervention Trial

The Labor and Delivery Teamwork Intervention Trial

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00381056
Enrollment
30000
Registered
2006-09-27
Start date
2000-07-31
Completion date
2004-03-31
Last updated
2006-09-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Adverse Maternal and Neonatal Outcomes

Keywords

labor and delivery care, teamwork training, crew resource management, cluster-randomized trial

Brief summary

A cluster-randomized controlled trial was conducted at 7 intervention and 8 control hospitals to evaluate the effect of teamwork training on the occurrence of adverse outcomes and processes of care in labor and delivery.

Detailed description

A cluster-randomized controlled trial was conducted at 7 intervention and 8 control hospitals to evaluate the effect of teamwork training on the occurrence of adverse outcomes and processes of care in labor and delivery. The intervention, called the Labor & Delivery Team Coordination Course, was a standardized teamwork training curriculum based on crew resource management that emphasized communication and team structure. The primary outcome was the proportion of deliveries at greater than or equal to 20 weeks gestation in which one or more adverse maternal and/or neonatal outcomes occurred (Adverse Outcome Index, AOI). Additional outcomes included 11 clinical process measures.

Interventions

BEHAVIORALLabor and Delivery Team Coordination Course

Sponsors

Dynamics Research Corporation
CollaboratorINDUSTRY
Armed Forces Institute of Pathology
CollaboratorFED
TRICARE Management Activity
CollaboratorUNKNOWN
Harvard Risk Management Foundation
CollaboratorOTHER
Beth Israel Deaconess Medical Center
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
ECT
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
0 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* delivery at a participating hospital between 12/31/02-03/31/04 * pregnancy of 20-43 weeks gestation

Exclusion criteria

* delivery at less than 20 weeks or greater than 43 weeks

Design outcomes

Primary

MeasureTime frame
The primary outcome was the proportion of deliveries at greater than or equal to 20 weeks gestation in which one or more adverse maternal and/or neonatal outcomes occurred (Adverse Outcome Index).—

Secondary

MeasureTime frame
Additional outcomes were eleven process measures that recorded length of care or delay to action.—

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Apr 8, 2026