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van de Ven J, van Baaren GJ, Fransen AF, et al. Cost-effectiveness of simulation-based team training in obstetric emergencies (TOSTI study). Eur J Obstet Gynecol Reprod Biol. 2017;216:130-137doi: 10.1016/j.ejogrb.2017.07.027.
van de Ven, J., van Baaren, G. J., Fransen, A. F., van Runnard Heimel, P. J., Mol, B. W., & Oei, S. G. (2017). Cost-effectiveness of simulation-based team training in obstetric emergencies (TOSTI study). European journal of obstetrics, gynecology, and reproductive biology, 216130-137. https://doi.org/10.1016/j.ejogrb.2017.07.027
van de Ven, J, et al. "Cost-effectiveness of simulation-based team training in obstetric emergencies (TOSTI study)." European journal of obstetrics, gynecology, and reproductive biology vol. 216 (2017): 130-137. doi: https://doi.org/10.1016/j.ejogrb.2017.07.027
van de Ven J, van Baaren GJ, Fransen AF, van Runnard Heimel PJ, Mol BW, Oei SG. Cost-effectiveness of simulation-based team training in obstetric emergencies (TOSTI study). Eur J Obstet Gynecol Reprod Biol. 2017 Sep;216:130-137. doi: 10.1016/j.ejogrb.2017.07.027. Epub 2017 Jul 23. PMID: 28763738.
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Eur J Obstet Gynecol Reprod Biol. 2017 Sep;216:130-137. doi: 10.1016/j.ejogrb.2017.07.027. Epub 2017 Jul 23.

Cost-effectiveness of simulation-based team training in obstetric emergencies (TOSTI study).

European journal of obstetrics, gynecology, and reproductive biology

J van de Ven, G J van Baaren, A F Fransen, P J van Runnard Heimel, B W Mol, S G Oei

Affiliations

  1. Department of Obstetrics and Gynaecology, Elkerliek Hospital, Helmond, The Netherlands. Electronic address: [email protected].
  2. Department of Obstetrics and Gynaecology, Academic Medical Centre, Amsterdam, The Netherlands.
  3. Department of Obstetrics and Gynaecology, Maastricht University Medical Centre, Maastricht, The Netherlands.
  4. Department of Obstetrics and Gynaecology, Máxima Medical Center, Eindhoven, Veldhoven, The Netherlands.
  5. The Robinson Research Institute, School of Paediatrics and Reproductive Health, University of Adelaide, and The South Australian Health and Medical Research Institute, Adelaide, Australia.
  6. Department of Obstetrics and Gynaecology, Máxima Medical Center, Eindhoven, Veldhoven, The Netherlands; Department of Electrical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands.

PMID: 28763738 DOI: 10.1016/j.ejogrb.2017.07.027

Abstract

OBJECTIVE: Team training is frequently applied in obstetrics. We aimed to evaluate the cost-effectiveness of obstetric multi-professional team training in a medical simulation centre.

STUDY DESIGN: We performed a model-based cost-effectiveness analysis to evaluate four strategies for obstetric team training from a hospital perspective (no training, training without on-site repetition and training with 6 month or 3-6-9 month repetition). Data were retrieved from the TOSTI study, a randomised controlled trial evaluating team training in a medical simulation centre. We calculated the incremental cost-effectiveness ratio (ICER), which represent the costs to prevent the adverse outcome, here (1) the composite outcome of obstetric complications and (2) specifically neonatal trauma due to shoulder dystocia.

RESULTS: Mean costs of a one-day multi-professional team training in a medical simulation centre were €25,546 to train all personnel of one hospital. A single training in a medical simulation centre was less effective and more costly compared to strategies that included repetition training. Compared to no training, the ICERs to prevent a composite outcome of obstetric complications were €3432 for a single repetition training course on-site six months after the initial training and €5115 for a three monthly repetition training course on-site after the initial training during one year. When we considered neonatal trauma due to shoulder dystocia, a three monthly repetition training course on-site after the initial training had an ICER of €22,878.

CONCLUSION: Multi-professional team training in a medical simulation centre is cost-effective in a scenario where repetition training sessions are performed on-site.

Copyright © 2017 Elsevier B.V. All rights reserved.

Keywords: Cost-effectiveness; Obstetric care; Randomised controlled trial; Simulation; Team training

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