Clinical Case Scenarios
AHRQ Safety Program for Perinatal Care, Phase 2
The two clinical case scenarios below illustrate 10 teamwork tools and strategies for improving perinatal care. One scenario focuses on obstetric hemorrhage, and the other scenario focuses on severe hypertension in pregnancy. Both scenarios will be useful for frontline clinicians and Alliance for Innovation on Maternal Health Team Leads.
- Obstetric Hemorrhage Clinical Case Scenarios (PowerPoint, 5.5 MB)
- Severe Hypertension Clinical Case Scenarios (PowerPoint, 5.2 MB)
Tier 1 – Frontline Education
Eight short (8–20 minute) video-based training emodules introduce the frontline audience to the 10 teamwork tools and strategies and showcase their use during a hemorrhage or hypertension case. Each emodule introduces viewers to one to two teamwork strategies and tools. Conceptual explanation of the tools is followed with a segment from the clinical case scenario that demonstrates how the tool or strategy might be employed to assist with managing and coordinating patient care.
Hemorrhage Emodules
- Module 1: Introduction to Safety Program for Perinatal Care II Teamwork Toolkit for Obstetric Hemorrhage (23 minutes)
- Module 2: Call-Out & Check-Back in Obstetric Hemorrhage (16 minutes, 21 seconds)
- Module 3: SBAR—Obstetric Hemorrhage (11 minutes, 25 seconds)
- Module 4: Handoffs With I PASS the BATON—Obstetric Hemorrhage (14 minutes, 22 seconds)
- Module 5: Two-Challenge Rule and Power Words—Obstetric Hemorrhage (11 minutes, 35 seconds)
- Module 6: Briefs & Huddles in Obstetric Hemorrhage (11 minutes, 41 seconds)
- Module 7: Debriefs in Obstetric Hemorrhage (18 minutes, 16 seconds)
- Module 8: DESCR Script – Obstetric Hemorrhage (11 minutes, 48 seconds)
Hypertension Emodules
- Module 1: Introduction to Safety Program for Perinatal Care II Teamwork Toolkit for Severe Hypertension (19 minutes, 54 seconds)
- Module 2: Call-Out & Check-Back in Severe Hypertension (15 minutes, 59 seconds)
- Module 3: SBAR—Severe Hypertension (9 minutes, 57 seconds)
- Module 4: Handoffs With I PASS the BATON—Severe Hypertension (14 minutes, 38 seconds)
- Module 5: Two-Challenge Rule and Power Words—Severe Hypertension (11 minutes, 1 second)
- Module 6: Briefs & Huddles in Severe Hypertension (13 minutes, 7 seconds)
- Module 7: Debriefs in Severe Hypertension (20 minutes, 57 seconds)
- Module 8: DESCR Script—Severe Hypertension (10 minutes, 37 seconds)
Tier 2 – AIM Team Lead Education
The PowerPoint slide sets and speaker notes below are intended to help AIM Team Leads disseminate the SPPC-II Teamwork Toolkit to frontline staff (tier 1) in their respective labor and delivery units. Instruction ideally is provided in a live workshop by a TeamSTEPPS master trainer. Delivery may be either in person or virtual.
Hemorrhage
- Introduction to the SPPC-II Teamwork Toolkit for Obstetric Hemorrhage (PowerPoint [5.3 MB]); Speaker Notes 1 [PDF, 7.3 MB])
- Team Structure and Assembly (PowerPoint [3.3 MB]); Speaker Notes 2 [PDF, 4.2 MB])
- Communication: Obstetric Hemorrhage (PowerPoint [94 MB]); Speaker Notes 3 [PDF, 5 MB])
- Situation Monitoring: Obstetric Hemorrhage (PowerPoint [22 MB]); Speaker Notes 4 [PDF, 7.6 MB])
- Mutual Support: Obstetric Hemorrhage (PowerPoint [28 MB]); Speaker Notes 5 [PDF, 9 MB])
- Coaching (PowerPoint [3.2 MB]); Speaker Notes 6 [PDF, 1.4 MB])
- Implementing the SPPC-II Teamwork Toolkit (PowerPoint [3 MB]); Speaker Notes 7 [PDF, 970 KB])
- Program Evaluation (PowerPoint [6 MB]); Speaker Notes 8 [PDF, 1.4 MB])
Hypertension
- Introduction to the SPPC-II Teamwork Toolkit for Severe Hypertension (PowerPoint [5 MB]); Speaker Notes 1 [PDF, 2.5 MB])
- Team Structure and Assembly (PowerPoint [3.3 MB]); Speaker Notes 2 [PDF, 1 MB])
- Communication: Severe Hypertension (PowerPoint [93.3 MB]); Speaker Notes 3 [PDF, 4.3 MB])
- Situation Monitoring: Severe Hypertension (PowerPoint [24 MB]); Speaker Notes 4 [PDF, 3.3 MB])
- Mutual Support: Severe Hypertension (PowerPoint [27.7 MB]); Speaker Notes 5 [PDF, 2.8 MB])
- Coaching (PowerPoint [3.2 MB]); Speaker Notes 6 [PDF, 1.4 MB])
- Implementing the SPPC-II Teamwork Toolkit (PowerPoint [3 MB]); Speaker Notes 7 [PDF, 943 KB])
- Program Evaluation (PowerPoint [6 MB]); Speaker Notes 8 [PDF, 1.3 MB])