The Labor and Delivery Teamwork Intervention Trial

Beth Israel Deaconess Medical Center30,000 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

ECT

Masking

NONE

Enrollment

30,000

Conditions

Adverse Maternal and Neonatal Outcomes

Interventions

Labor and Delivery Team Coordination CourseBEHAVIORAL

Eligibility

Sex: FEMALEMin age: 0 Years

Medical Language ↔ Plain English

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

Locations (15)

University of Alabama

Birmingham, Alabama, United States

Naval Hospital Campe Pendleton

Oceanside, California, United States

Naval Medical Center San Diego

San Diego, California, United States

Outcomes

Primary Outcomes

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 Outcomes

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

Data from ClinicalTrials.gov

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