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

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT07519252

Acronym

PPH-SIM

Enrollment

Registered

2026-04-09

Start date

2026-07-24

Completion date

2026-10-01

Last updated

2026-07-28

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

Conditions

Postpartum Hemorrhage, Simulation Based Medical Education

Keywords

Postpartum Hemorrhage, Simulation Based Medical Education, Anesthesiology Education, Crisis Resource Management, Team Performance, Obstetric Emergencies, Resident Training

Brief summary

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.

Detailed description

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.

Interventions

BEHAVIORALSimulation-Based Postpartum Hemorrhage Training

High-fidelity simulation-based training designed to improve management of postpartum hemorrhage, including crisis resource management skills, team communication, and clinical decision-making.

Study design

Allocation

Intervention model

SINGLE_GROUP

Primary purpose

OTHER

Masking

NONE

Intervention model description

Single-group pre-post interventional study design. Participants will undergo simulation-based training, and performance will be evaluated before and after the intervention.

Eligibility

Sex/Gender

ALL

Age

24 Years to No maximum

Healthy volunteers

Yes

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

Design outcomes

Primary

Measure	Time frame	Description
Change in Crisis Resource Management (CRM) Score	Baseline and immediately after simulation training	Team performance will be assessed using a validated Crisis Resource Management (CRM) scoring system based on a 5-point Likert scale (1-5). Each item is scored from 1 (poor performance) to 5 (excellent performance), with higher scores indicating better team performance. Scores will be recorded before and immediately after the simulation-based training, and the change in total CRM score will be analyzed.

Secondary

Measure	Time frame	Description
Change in Team Performance Score	Baseline and immediately after simulation training	Team performance will be evaluated using a structured assessment tool focusing on communication, leadership, and coordination during simulation scenarios. The assessment is based on a 5-point Likert scale (1-5), where higher scores indicate better performance. Scores will be recorded before and immediately after the simulation-based training.

Countries

Turkey (Türkiye)

Contacts

CONTACTMehmet Kırıköz, MD

mehmetkirikoz@hacettepe.edu.tr+905364524996

CONTACTBanu Kılıçaslan, MD

PRINCIPAL_INVESTIGATORMehmet Kırıköz, MD

Hacettepe University

STUDY_DIRECTORBanu Kılıçaslan, MD