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Introduction: A standardized team-training program for healthcare professionals in obstetric units was developed based on an analysis of common causes for adverse events found in claims registries. The interdisciplinary and interprofessional training concept included both technical and non-technical skill training. Evaluation of the program was carried out in hospitals with respect to the immediate personal learning of participants and also regarding changes in safety culture. Methods: Trainings in n = 7 hospitals including n = 270 participants was evaluated using questionnaires. These were administered at four points in time to staff from participating obstetric units: (1) 10 days ahead of the training (n = 308), (2) on training day before (n = 239), (3) right after training (n = 248), and (4) 6 months after (n = 188) the intervention. Questionnaires included several questions for technical and non-technical skills and the Hospital Survey on Patient Safety (HSOPS). Results: Strong effects were found in the participants' perception of their own competence regarding technical skills and handling of emergencies. Small effects could be observed in the scales of the HSOPS questionnaire. Most effects differed depending on professional groups and hospitals. Conclusions: Integrated technical and team management training can raise employees' confidence with complex emergency management skills and processes. Some indications for improvements on the patient safety culture level were detected. Furthermore, differences between professional groups and hospitals were found, indicating the need for more research on contributing factors for patient safety and for the success of crew resource management (CRM) trainings. [ABSTRACT FROM AUTHOR]

Medical errors rank high amongst leading causes of death. Especially in emergency care, when there is limited time to think, the "human factor", the interface between human action and the environmental system, has been recognized to be a critical part that determines the outcome. Recent models of human error are based on the principle that critical incidents are of multifactorial origin and reflect insufficiencies of the underlying system itself. The Human Simulation Center (HSC) was built specifically to train interaction between medical teams and to investigate the human factor in medical emergencies. In the following article we present "MevidIO", a live-monitoring and debriefing application framework. Developed for a full-scale simulation center designed to model error transduction in medical emergency care process chains, the framework integrates educational and scientific aspects.