{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T21:23:37Z","timestamp":1792790617060,"version":"4.5.0"},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,4,2]],"date-time":"2018-04-02T00:00:00Z","timestamp":1522627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100007437","name":"TrygFonden","doi-asserted-by":"publisher","award":["109507"],"award-info":[{"award-number":["109507"]}],"id":[{"id":"10.13039\/501100007437","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>This study aimed to develop a valid and reliable Team<jats:styled-content style=\"fixed-case\">OBS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content> tool for assessing clinical performance in the management of postpartum hemorrhage (<jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content>). The tool was evaluated using video\u2010recordings of teams managing <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content> in both real\u2010life and simulated settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>A Delphi panel consisting of 12 obstetricians from the <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>, Norway, Sweden, Iceland, and Denmark achieved consensus on (i) the elements to include in the assessment tool, (ii) the weighting of each element, and (iii) the final tool. The validity and reliability were evaluated according to Cook and Beckman. (Level 1) Four raters scored four video\u2010recordings of in situ simulations of <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content>. (Level 2) Two raters scored 85 video\u2010recordings of real\u2010life teams managing patients with <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content> \u22651000 <jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content> in two Danish hospitals. (Level 3) Two raters scored 15 video\u2010recordings of in situ simulations of <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content> from a <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The tool was designed with scores from 0 to 100. (Level 1) Teams of novices had a median score of 54 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 48\u201360), whereas experienced teams had a median score of 75 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 71\u201379; <jats:italic>p<\/jats:italic> &lt; 0.001). (Level 2) The intra\u2010rater [intra\u2010class correlation (<jats:styled-content style=\"fixed-case\">ICC<\/jats:styled-content>) = 0.96] and inter\u2010rater (<jats:styled-content style=\"fixed-case\">ICC<\/jats:styled-content> = 0.83) agreements for real\u2010life <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content> were strong. The tool was applicable in all cases: atony, retained placenta, and lacerations. (Level 3) The tool was easily adapted to in situ simulation settings in the <jats:styled-content style=\"fixed-case\">USA<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">ICC<\/jats:styled-content> = 0.86).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The Team<jats:styled-content style=\"fixed-case\">OBS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content> tool appears to be valid and reliable for assessing clinical performance in real\u2010life and simulated settings. The tool will be shared as the free Team<jats:styled-content style=\"fixed-case\">OBS<\/jats:styled-content> App.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.13336","type":"journal-article","created":{"date-parts":[[2018,2,27]],"date-time":"2018-02-27T15:00:53Z","timestamp":1519743653000},"page":"677-687","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Development of the Team<scp>OBS<\/scp>\u2010<scp>PPH<\/scp> \u2013 targeting clinical performance in postpartum hemorrhage"],"prefix":"10.1111","volume":"97","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5136-9682","authenticated-orcid":false,"given":"Lise","family":"Brogaard","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Regional Hospital Horsens Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lone","family":"Hvidman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Aarhus University Hospital Skejby Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Hinshaw","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sunderland Royal Hospital Sunderland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ole","family":"Kierkegaard","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Regional Hospital Horsens Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanja","family":"Manser","sequence":"additional","affiliation":[{"name":"Institute for Patient Safety Faculty of Medicine University Hospital Bonn Bonn Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Musaeus","sequence":"additional","affiliation":[{"name":"Center for Health Sciences Education INCUBA Science Park Skejby Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Arafeh","sequence":"additional","affiliation":[{"name":"Center for Advanced Pediatric and Perinatal Education Stanford University Palo Alto CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kay I.","family":"Daniels","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine Stanford University Palo Alto CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy E.","family":"Judy","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology School of Medicine Stanford University Palo Alto CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niels","family":"Uldbjerg","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Aarhus University Hospital Skejby 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