Construction of a delivery room safety system：an advancing path from skill training to multidisciplinary in-situ simulation.

LIU Shi-cong; YAO Qiang

doi:10.19538/j.fk2026040110

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Chinese Journal of Practical Gynecology and Obstetrics ›› 2026, Vol. 42 ›› Issue (4) : 425-429. DOI: 10.19538/j.fk2026040110

Construction of a delivery room safety system：an advancing path from skill training to multidisciplinary in-situ simulation.

LIU Shi-cong ¹^,² ,
YAO Qiang ¹^,²

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Abstract

As a high-risk and fast-paced clinical setting，the delivery room serves as the core stage for obstetric medical quality and safety. Establishing a delivery room safety system is crucial for reducing maternal and neonatal morbidity and mortality，and the key to constructing the safety system is the training of the staff in the delivery room. This article elaborates on the challenges facing delivery room safety and the limitations of current training models. Subsequently，through the introduction of the competency-based skill training，the teamwork training that enhances team capability，and the training of multidisciplinary in-situ simulation that replicates real clinical scenarios，this article discusses the establishment and implementation of a training curriculum system for constructing a delivery room safety system. By establishing a closed-loop system of "design-training-assessment-improvement，" this article aims to provide a theoretical basis and practical strategies for the scientific construction and sustained enhancement of a delivery room safety system.

Key words

labor and delivery room safety / skill training / simulation training / multidisciplinary team / in-situ simulation

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LIU Shi-cong , YAO Qiang. Construction of a delivery room safety system：an advancing path from skill training to multidisciplinary in-situ simulation.[J]. Chinese Journal of Practical Gynecology and Obstetrics. 2026, 42(4): 425-429 https://doi.org/10.19538/j.fk2026040110

References

List( Publishing order | Descend order by publishing year | Descend order by cited within ) Chart analysis

[1]	国家产科专业医疗质量控制中心. 2024年国家产科医疗服务与质量安全报告(产科专业)[R/OL].(2024-12-17)[2026-01-10]. https://www.obqcc.org.cn/#/articleDetail/0780d65d71d84b81bc43a4ea186bd920. https://www.obqcc.org.cn/#/articleDetail/0780d65d71d84b81bc43a4ea186bd920 Cited in this article [1]

[2]	Satin AJ. Simulation in Obstetrics[J]. Obstet Gynecol, 2018, 132(1):199-209. DOI:10.1097/AOG.0000000000002682. Cited in this article [1]

[3]	段涛. 开展模拟实训,提高产科抢救能力[J]. 中国实用妇科与产科杂志, 2016, 32(8):713-715. Cited in this article [1]

[4]	Stitely ML, Cerbone L, Nixon A, Bringman JJ. Assessment of a simulation training exercise to teach intrauterine tamponade for the treatment of postpartum hemorrhage[J]. J Midwifery Womens Health, 2011, 56(5):503-506. DOI:10.1111/j.1542-2011.2011.00046.x. Cited in this article [1]

[5]	Ramseyer AM, Lutgendorf MA. Implementation of Low-Cost Obstetric Hemorrhage Simulation Training Models for Resident Education[J]. Mil Med, 2019, 184(11-12):e637-e641. DOI:10.1093/milmed/usz098. Cited in this article [1]

[6]	Vamos CA, Foti TR, Reyes Martinez E, et al. Identification of Clinician Training Techniques as an Implementation Strategy to Improve Maternal Health:A Scoping Review[J]. Int J Environ Res Public Health, 2023, 20(11):6003. DOI:10.3390/ijerph20116003. Cited in this article [1]

[7]	Minor KC, Bianco K, Mayo JA, et al. Virtual simulation training for postpartum hemorrhage in low-to-moderate-volume hospitals in the US[J]. AJOG Glob Rep, 2024, 4(3):100357. DOI:10.1016/j.xagr.2024.100357. Cited in this article [1]

[8]	Gossett DR, Gilchrist-Scott D, Wayne DB, et al. Simulation Training for Forceps-Assisted Vaginal Delivery and Rates of Maternal Perineal Trauma[J]. Obstet Gynecol, 2016, 128(3):429-435. DOI:10.1097/AOG.0000000000001533. Cited in this article [1]

[9]	Mannella P, Giordano M, Guevara MMM, et al. Simulation training program for vacuum application to improve technical skills in vacuum-assisted vaginal delivery[J]. BMC Pregnancy Childbirth, 2021, 21(1):338. DOI:10.1186/s12884-021-03829-y. Cited in this article [1]

[10]	Bligard KH, Lipsey KL, Young OM. Simulation Training for Operative Vaginal Delivery Among Obstetrics and Gynecology Residents:A Systematic Review[J]. Obstet Gynecol, 2019,134 Suppl 1:16S-21 S. DOI:10.1097/AOG.0000000000003431. Cited in this article [1]

[11]	Fransen AF, van de Ven J, Merién AE, et al. Effect of obstetric team training on team performance and medical technical skills:a randomised controlled trial[J]. BJOG, 2012, 119(11):1387-1393. DOI:10.1111/j.1471-0528.2012.03436.x. Cited in this article [1]

[12]	Shaddeau AK, Deering S. Simulation and Shoulder Dystocia[J]. Clin Obstet Gynecol, 2016, 59(4):853-858. DOI:10.1097/GRF.0000000000000238. Cited in this article [1]

[13]	Olson DN, Logan L, Gibson KS. Evaluation of multidisciplinary shoulder dystocia simulation training on knowledge,performance,and documentation[J]. Am J Obstet Gynecol MFM, 2021, 3(5):100401. DOI:10.1016/j.ajogmf.2021.100401. Cited in this article [1]

[14]	Stone H, Crane J, Johnston K, et al. Retention of Vaginal Breech Delivery Skills Taught in Simulation[J]. J Obstet Gynaecol Can, 2018, 40(2):205-210. DOI:10.1016/j.jogc.2017.06.029. Cited in this article [1]

[15]	Sparks RA, Beesley AD, Jones AD. The sponge perineum:an innovative method of teaching fourth-degree obstetric perineal laceration repair to family medicine residents[J]. Fam Med, 2006, 38(8):542-544. Cited in this article [1]

[16]	Oyama IA, Aaronoff MC, Burlingame JM. Obstetric anal sphincter injury repair workshop for residents[J]. Hawaii Med J, 2009, 68(6):133-135. Cited in this article [1]

[17]	Illston JD, Ballard AC, Ellington DR, et al. Modified Beef Tongue Model for Fourth-Degree Laceration Repair Simulation[J]. Obstet Gynecol, 2017, 129(3):491-496. DOI:10.1097/AOG.0000000000001908. Cited in this article [1]

[18]	Wu N, Li W, Huang R, et al. Effect of simulation-based training workshop on obstetric emergency team collaboration and communication: a mixed study[J]. Front Med (Lausanne), 2024, 11:1282421. DOI:10.3389/fmed.2024.1282421. Cited in this article [1]

[19]	张晓菁, 王谢桐. SimMom模拟人在产科医师培训中的作用[J]. 中华产科急救电子杂志, 2016, 5(4):232-236. DOI:10.3877/cma.j.issn.2095-3259.2016.04.009. Cited in this article [1]

[20]	Le Lous M, Simon O, Lassel L, et al. Hybrid simulation for obstetrics training: A systematic review[J]. Eur J Obstet Gynecol Reprod Biol, 2020, 246:23-28. DOI:10.1016/j.ejogrb.2019.12.024. Cited in this article [1]

[21]	Dillon SJ, Kleinmann W, Fomina Y, et al. Does simulation improve clinical performance in management of postpartum hemorrhage?[J]. Am J Obstet Gynecol, 2021, 225(4):435.e1-435.e8. DOI:10.1016/j.ajog.2021.05.025. Cited in this article [1]

[22]	Shields AD, Vidosh J, Thomson BA, et al. Validation of a Simulation-Based Resuscitation Curriculum for Maternal Cardiac Arrest[J]. Obstet Gynecol, 2023, 142(5):1189-1198. DOI:10.1097/AOG.0000000000005349. Cited in this article [1]

[23]	Lipman SS, Daniels KI, Carvalho B, et al. Deficits in the provision of cardiopulmonary resuscitation during simulated obstetric crises[J]. Am J Obstet Gynecol, 2010, 203(2):179.e1-179.e1795. DOI:10.1016/j.ajog.2010.02.022. Cited in this article [1]

[24]	Lee A, Sheen JJ, Richards S. Intrapartum Maternal Cardiac Arrest: A Simulation Case for Multidisciplinary Providers[J]. MedEdPORTAL, 2018, 14:10768. DOI:10.15766/mep_2374-8265.10768. Cited in this article [1]

[25]	葛炯杉, 史迪, 刘继海. 原位模拟在医学教育中应用的现状、方法与展望[J]. 中华医学教育杂志, 2025, 45(4):264-271. DOI:10.3760/cma.j.cn115259-20250131-00107. Cited in this article [1]

[26]	Lutgendorf MA, Spalding C, Drake E, et al. Multidisciplinary In Situ Simulation-Based Training as a Postpartum Hemorrhage Quality Improvement Project[J]. Mil Med, 2017, 182(3):e1762-e1766. DOI:10.7205/MILMED-D-16-00030. Cited in this article [1]

[27]	Thenuwara K, Dunbar A. Using Simulation to Improve and Maintain Obstetrical Skills in Rural Hospitals[J]. Clin Obstet Gynecol, 2022, 65(4):817-828. DOI:10.1097/GRF.0000000000000741. Cited in this article [1]

[28]	Sansregret A, Garber A, Freire-Lizama T, et al. Consensus Statement No. 434: Simulation in Obstetrics and Gynaecology[J]. J Obstet Gynaecol Can, 2023, 45(3):214-226.e1. DOI:10.1016/j.jogc.2023.02.006. Cited in this article [1]

[29]	American Academy Of Family Physicians. Advanced Life Support in Obstetrics (ALSO) Program[EB/OL].(2026-01-15)[2026-01-15]. https://www.aafp.org/cme/programs/also.html. https://www.aafp.org/cme/programs/also.html Cited in this article [1]

[30]	Obstetrical And Gynaecological Society Of Malaysia. ICOE[EB/OL].(2026-01-15)[2026-01-15]. https://icoe.org.my. https://icoe.org.my Cited in this article [1]