Effect of Simulation-Based Postpartum Hemorrhage Training on Team Performance in Senior Anesthesiology Teams (PPH-SIM)

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

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.

Study Overview

• Status: Not yet recruiting
• Conditions: Postpartum Hemorrhage; Simulation Based Medical Education
• Intervention / Treatment: Behavioral: Simulation-Based Postpartum Hemorrhage Training

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.

• Study Type: Interventional
• Enrollment (Estimated): 36
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Mehmet Kırıköz, MD; Phone Number: +905364524996; Email: mehmetkirikoz@hacettepe.edu.tr
• Study Contact Backup: Name: Banu Kılıçaslan, MD

Study Locations

• Turkey (Türkiye)
  • Ankara
    • Ankara, Ankara, Turkey (Türkiye), 06100
      • Hacettepe University Faculty of Medicine
      • Principal Investigator: Banu Kılıçaslan, MD
      • Contact: Mehmet Kırıköz, MD; Phone Number: +905364524996; Email: mehmetkirikoz@hacettepe.edu.tr
      • Contact: Banu Kılıçaslan, MD; Phone Number: +903123051250 +905322969290; Email: banuk9oct@gmail.com
      • Sub-Investigator: Mehmet Kırıköz, MD

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Simulation-Based Training Group; Participants will undergo a structured high-fidelity simulation-based training program focused on postpartum hemorrhage management. Performance will be assessed before and after the intervention.	Behavioral: Simulation-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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in Crisis Resource Management (CRM) Score	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.	Baseline and immediately after simulation training

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in Team Performance Score	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.	Baseline and immediately after simulation training

Collaborators and Investigators

• Sponsor: Mehmet Kırıköz
• Investigators: Principal Investigator: Mehmet Kırıköz, MD, Hacettepe University; Study Director: Banu Kılıçaslan, MD, Hacettepe University

Study record dates

Study Major Dates

• Study Start (Estimated): May 1, 2026
• Primary Completion (Estimated): July 1, 2026
• Study Completion (Estimated): October 1, 2026

Study Registration Dates

• First Submitted: April 2, 2026
• First Submitted That Met QC Criteria: April 2, 2026
• First Posted (Actual): April 9, 2026

Study Record Updates

• Last Update Posted (Actual): April 16, 2026
• Last Update Submitted That Met QC Criteria: April 13, 2026
• Last Verified: April 1, 2026

More Information

Terms related to this study

• Keywords: Postpartum Hemorrhage; Crisis Resource Management; Resident Training; Simulation Based Medical Education; Anesthesiology Education; Team Performance; Obstetric Emergencies
• Additional Relevant MeSH Terms: Urogenital Diseases; Pathologic Processes; Female Urogenital Diseases and Pregnancy Complications; Obstetric Labor Complications; Pregnancy Complications; Hemorrhage; Puerperal Disorders; Uterine Hemorrhage; Pathological Conditions, Signs and Symptoms; Postpartum Hemorrhage
• Other Study ID Numbers: HUTF-ANES-PPH-2026; THD-2025-22292 (Other Identifier: Hacettepe University Scientific Research Projects Unit)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: Individual participant data (IPD) will not be publicly shared due to institutional policies and the nature of the study. Data may be available from the corresponding author upon reasonable request.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No