{"id":"https://openalex.org/W7220410348","doi":"https://doi.org/10.7759/cureus.117482","title":"Simulation-Based Outreach Program to Support Community Hospitals\u2019 Team Readiness for Obstetric Emergencies Across a Rural Health System","display_name":"Simulation-Based Outreach Program to Support Community Hospitals\u2019 Team Readiness for Obstetric Emergencies Across a Rural Health System","publication_year":2026,"publication_date":"2026-10-05","ids":{"openalex":"https://openalex.org/W7220410348","doi":"https://doi.org/10.7759/cureus.117482","pmid":"https://pubmed.ncbi.nlm.nih.gov/42985319","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13733610"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.117482","doi":"https://doi.org/10.7759/cureus.117482","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117482","pdf_url":"https://www.cureus.com/articles/521035-simulation-based-outreach-program-to-support-community-hospitals-team-readiness-for-obstetric-emergencies-across-a-rural-health-system.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/521035-simulation-based-outreach-program-to-support-community-hospitals-team-readiness-for-obstetric-emergencies-across-a-rural-health-system.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5049843682","display_name":"Jesse M. Rideout","orcid":"https://orcid.org/0000-0003-4608-0053","observed_orcids":["https://orcid.org/0000-0003-4608-0053"]},"institutions":[{"id":"https://openalex.org/I121934306","display_name":"Tufts University","ror":"https://ror.org/05wvpxv85","country_code":"US","type":"education","lineage":["https://openalex.org/I121934306"]},{"id":"https://openalex.org/I4210102705","display_name":"MaineHealth","ror":"https://ror.org/017xncd55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210102705"]},{"id":"https://openalex.org/I4210123774","display_name":"Maine Medical Center","ror":"https://ror.org/034c1gc25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210102705","https://openalex.org/I4210123774"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jesse M Rideout","raw_affiliation_strings":["Emergency Medicine, MaineHealth Maine Medical Center, Portland, USA","Emergency Medicine, Tufts University, Boston, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency Medicine, MaineHealth Maine Medical Center, Portland, USA","institution_ids":["https://openalex.org/I4210102705","https://openalex.org/I4210123774"]},{"raw_affiliation_string":"Emergency Medicine, Tufts University, Boston, USA","institution_ids":["https://openalex.org/I121934306"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085553423","display_name":"Micheline Chipman","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210102705","display_name":"MaineHealth","ror":"https://ror.org/017xncd55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210102705"]},{"id":"https://openalex.org/I4210123774","display_name":"Maine Medical Center","ror":"https://ror.org/034c1gc25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210102705","https://openalex.org/I4210123774"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Micheline Chipman","raw_affiliation_strings":["Medical Education and Simulation, MaineHealth Maine Medical Center, Portland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medical Education and Simulation, MaineHealth Maine Medical Center, Portland, USA","institution_ids":["https://openalex.org/I4210102705","https://openalex.org/I4210123774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112978369","display_name":"Beth Gray","orcid":"https://orcid.org/0009-0008-2431-7949","observed_orcids":["https://orcid.org/0009-0008-2431-7949"]},"institutions":[{"id":"https://openalex.org/I4210102705","display_name":"MaineHealth","ror":"https://ror.org/017xncd55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210102705"]},{"id":"https://openalex.org/I4210123774","display_name":"Maine Medical Center","ror":"https://ror.org/034c1gc25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210102705","https://openalex.org/I4210123774"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Beth Gray","raw_affiliation_strings":["Medical Education and Simulation, MaineHealth Maine Medical Center, Portland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medical Education and Simulation, MaineHealth Maine Medical Center, Portland, USA","institution_ids":["https://openalex.org/I4210102705","https://openalex.org/I4210123774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5157565649","display_name":"Rebecca Hunt","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I121934306","display_name":"Tufts University","ror":"https://ror.org/05wvpxv85","country_code":"US","type":"education","lineage":["https://openalex.org/I121934306"]},{"id":"https://openalex.org/I4210102705","display_name":"MaineHealth","ror":"https://ror.org/017xncd55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210102705"]},{"id":"https://openalex.org/I4210123774","display_name":"Maine Medical Center","ror":"https://ror.org/034c1gc25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210102705","https://openalex.org/I4210123774"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rebecca Hunt","raw_affiliation_strings":["Obstetrics and Gynecology, MaineHealth Maine Medical Center, Portland, USA","Obstetrics and Gynecology, Tufts University, Boston, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Obstetrics and Gynecology, MaineHealth Maine Medical Center, Portland, USA","institution_ids":["https://openalex.org/I4210102705","https://openalex.org/I4210123774"]},{"raw_affiliation_string":"Obstetrics and Gynecology, Tufts University, Boston, USA","institution_ids":["https://openalex.org/I121934306"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077486675","display_name":"Emily Watson","orcid":"https://orcid.org/0009-0004-1492-683X","observed_orcids":["https://orcid.org/0009-0004-1492-683X"]},"institutions":[{"id":"https://openalex.org/I4210102705","display_name":"MaineHealth","ror":"https://ror.org/017xncd55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210102705"]},{"id":"https://openalex.org/I4210123774","display_name":"Maine Medical Center","ror":"https://ror.org/034c1gc25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210102705","https://openalex.org/I4210123774"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Emily Watson","raw_affiliation_strings":["Obstetrics and Gynecology, MaineHealth Maine Medical Center, Portland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Obstetrics and Gynecology, MaineHealth Maine Medical Center, Portland, USA","institution_ids":["https://openalex.org/I4210102705","https://openalex.org/I4210123774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5150690800","display_name":"Sarah Austin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210102705","display_name":"MaineHealth","ror":"https://ror.org/017xncd55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210102705"]},{"id":"https://openalex.org/I4210123774","display_name":"Maine Medical Center","ror":"https://ror.org/034c1gc25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210102705","https://openalex.org/I4210123774"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sarah Austin","raw_affiliation_strings":["Obstetrics and Gynecology, MaineHealth Maine Medical Center, Portland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Obstetrics and Gynecology, MaineHealth Maine Medical Center, Portland, USA","institution_ids":["https://openalex.org/I4210102705","https://openalex.org/I4210123774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088854818","display_name":"Anya J. Cutler","orcid":"https://orcid.org/0000-0003-3439-9606","observed_orcids":["https://orcid.org/0000-0003-3439-9606"]},"institutions":[{"id":"https://openalex.org/I4210102705","display_name":"MaineHealth","ror":"https://ror.org/017xncd55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210102705"]},{"id":"https://openalex.org/I4210123774","display_name":"Maine Medical Center","ror":"https://ror.org/034c1gc25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210102705","https://openalex.org/I4210123774"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anya Cutler","raw_affiliation_strings":["Center for Outcomes Research and Evaluation, MaineHealth Maine Medical Center, Portland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Outcomes Research and Evaluation, MaineHealth Maine Medical Center, Portland, USA","institution_ids":["https://openalex.org/I4210102705","https://openalex.org/I4210123774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5150643640","display_name":"Lauren Weller","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I121934306","display_name":"Tufts University","ror":"https://ror.org/05wvpxv85","country_code":"US","type":"education","lineage":["https://openalex.org/I121934306"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lauren Weller","raw_affiliation_strings":["Medical Education and Simulation, Tufts University, Boston, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medical Education and Simulation, Tufts University, Boston, USA","institution_ids":["https://openalex.org/I121934306"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103901600","display_name":"Jeffrey A. Holmes","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I121934306","display_name":"Tufts University","ror":"https://ror.org/05wvpxv85","country_code":"US","type":"education","lineage":["https://openalex.org/I121934306"]},{"id":"https://openalex.org/I4210102705","display_name":"MaineHealth","ror":"https://ror.org/017xncd55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210102705"]},{"id":"https://openalex.org/I4210123774","display_name":"Maine Medical Center","ror":"https://ror.org/034c1gc25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210102705","https://openalex.org/I4210123774"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jeffrey A Holmes","raw_affiliation_strings":["Emergency Medicine, MaineHealth Maine Medical Center, Portland, USA","Emergency Medicine, Tufts University, Boston, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency Medicine, MaineHealth Maine Medical Center, Portland, USA","institution_ids":["https://openalex.org/I4210102705","https://openalex.org/I4210123774"]},{"raw_affiliation_string":"Emergency Medicine, Tufts University, Boston, USA","institution_ids":["https://openalex.org/I121934306"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5026757870","display_name":"Leah A. Mallory","orcid":"https://orcid.org/0000-0002-5987-7232","observed_orcids":["https://orcid.org/0000-0002-5987-7232"]},"institutions":[{"id":"https://openalex.org/I121934306","display_name":"Tufts University","ror":"https://ror.org/05wvpxv85","country_code":"US","type":"education","lineage":["https://openalex.org/I121934306"]},{"id":"https://openalex.org/I4210102705","display_name":"MaineHealth","ror":"https://ror.org/017xncd55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210102705"]},{"id":"https://openalex.org/I4210123774","display_name":"Maine Medical Center","ror":"https://ror.org/034c1gc25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210102705","https://openalex.org/I4210123774"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Leah Mallory","raw_affiliation_strings":["Pediatrics, MaineHealth Maine Medical Center, Portland, USA","Pediatrics, Tufts University, Boston, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pediatrics, MaineHealth Maine Medical Center, Portland, USA","institution_ids":["https://openalex.org/I4210102705","https://openalex.org/I4210123774"]},{"raw_affiliation_string":"Pediatrics, Tufts University, Boston, USA","institution_ids":["https://openalex.org/I121934306"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5049843682"],"corresponding_institution_ids":["https://openalex.org/I121934306","https://openalex.org/I4210102705","https://openalex.org/I4210123774"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.75795289,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"10","first_page":"e117482","last_page":"e117482"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11238","display_name":"Simulation-Based Education in Healthcare","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11238","display_name":"Simulation-Based Education in Healthcare","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10916","display_name":"Surgical Simulation and Training","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11430","display_name":"Disaster Response and Management","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/obstetric-emergencies","display_name":"obstetric emergencies","score":0.847000002861023},{"id":"https://openalex.org/keywords/rural-hospitals","display_name":"rural hospitals","score":0.7979999780654907},{"id":"https://openalex.org/keywords/simulation-based-training","display_name":"simulation-based training","score":0.7820000052452087},{"id":"https://openalex.org/keywords/interprofessional-education","display_name":"interprofessional education","score":0.7229999899864197},{"id":"https://openalex.org/keywords/team-readiness","display_name":"team readiness","score":0.7829999923706055},{"id":"https://openalex.org/keywords/community-hospitals","display_name":"community hospitals","score":0.5989999771118164},{"id":"https://openalex.org/keywords/team-confidence","display_name":"team confidence","score":0.5659999847412109},{"id":"https://openalex.org/keywords/team-cohesion","display_name":"team cohesion","score":0.9070000052452087},{"id":"https://openalex.org/keywords/rural-health-workforce-shortage","display_name":"rural health workforce shortage","score":0.5389999747276306}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9298999905586243},{"id":"https://openalex.org/C2781400479","wikidata":"https://www.wikidata.org/wiki/Q11640","display_name":"Outreach","level":2,"score":0.8029999732971191},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.5227000117301941},{"id":"https://openalex.org/C2779958979","wikidata":"https://www.wikidata.org/wiki/Q3473027","display_name":"Rural health","level":3,"score":0.4747999906539917},{"id":"https://openalex.org/C2986257353","wikidata":"https://www.wikidata.org/wiki/Q3821752","display_name":"Rural community","level":2,"score":0.4327999949455261},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.4058000147342682},{"id":"https://openalex.org/C129047720","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural area","level":2,"score":0.3727000057697296},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3522999882698059},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3479999899864197},{"id":"https://openalex.org/C2983493262","wikidata":"https://www.wikidata.org/wiki/Q6786626","display_name":"Maternal health","level":4,"score":0.34299999475479126},{"id":"https://openalex.org/C3018448503","wikidata":"https://www.wikidata.org/wiki/Q5154968","display_name":"Community health workers","level":4,"score":0.3416999876499176},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.33320000767707825},{"id":"https://openalex.org/C2775951005","wikidata":"https://www.wikidata.org/wiki/Q3473024","display_name":"Community health","level":3,"score":0.3154999911785126},{"id":"https://openalex.org/C2994082534","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural population","level":3,"score":0.30880001187324524},{"id":"https://openalex.org/C5395021","wikidata":"https://www.wikidata.org/wiki/Q1061410","display_name":"Program evaluation","level":2,"score":0.3037000000476837},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.2775000035762787},{"id":"https://openalex.org/C2779891985","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telemedicine","level":3,"score":0.2694999873638153},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2687000036239624},{"id":"https://openalex.org/C2986740045","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health services","level":3,"score":0.2533999979496002}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.117482","doi":"https://doi.org/10.7759/cureus.117482","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117482","pdf_url":"https://www.cureus.com/articles/521035-simulation-based-outreach-program-to-support-community-hospitals-team-readiness-for-obstetric-emergencies-across-a-rural-health-system.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13733610","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13733610/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13733610/pdf/cureus-0018-00000117482.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"},{"id":"pmid:42985319","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42985319","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.7759/cureus.117482","doi":"https://doi.org/10.7759/cureus.117482","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117482","pdf_url":"https://www.cureus.com/articles/521035-simulation-based-outreach-program-to-support-community-hospitals-team-readiness-for-obstetric-emergencies-across-a-rural-health-system.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9763000011444092}],"study_designs":[{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7220410348.pdf","grobid_xml":"https://content.openalex.org/works/W7220410348.grobid-xml"},"referenced_works_count":21,"referenced_works":["https://openalex.org/W2093274439","https://openalex.org/W2102576312","https://openalex.org/W2131091560","https://openalex.org/W2258148693","https://openalex.org/W2265769342","https://openalex.org/W2322141813","https://openalex.org/W2753282823","https://openalex.org/W2791182517","https://openalex.org/W2793794978","https://openalex.org/W2895026601","https://openalex.org/W2944434778","https://openalex.org/W2946786405","https://openalex.org/W3203810240","https://openalex.org/W4294074024","https://openalex.org/W4297094449","https://openalex.org/W4315706326","https://openalex.org/W4391875827","https://openalex.org/W4397040042","https://openalex.org/W4400211258","https://openalex.org/W4404993615","https://openalex.org/W4410893464"],"related_works":["https://openalex.org/W7211879967","https://openalex.org/W1989925012","https://openalex.org/W3018335370","https://openalex.org/W2991486965","https://openalex.org/W4310551814","https://openalex.org/W2921787774","https://openalex.org/W2108117909","https://openalex.org/W2326963858","https://openalex.org/W2538364359","https://openalex.org/W4409118732"],"abstract_inverted_index":{"Background":[0],"Rural":[1],"hospitals":[2,73],"face":[3],"persistent":[4],"challenges":[5],"in":[6,55,61,101,143,170,205,219,247],"sustaining":[7],"readiness":[8,266],"for":[9,22],"obstetric":[10,57,64,261],"emergencies":[11],"due":[12],"to":[13,34,81,194,259],"declining":[14],"birth":[15],"volumes,":[16],"workforce":[17],"shortages,":[18],"and":[19,49,104,112,115,134,139,141,149,159,224,241,264],"limited":[20],"opportunities":[21],"hands-on":[23],"practice.":[24],"The":[25,94,228],"Maine":[26],"Obstetrical":[27],"Medical":[28],"Simulation":[29],"(MOMSim)":[30],"program":[31,47,67,230],"was":[32,68,110,153,231,242],"developed":[33],"support":[35],"interprofessional":[36,167,248],"team":[37,222,225,249],"preparedness":[38,263],"across":[39,70,120,137,156,176,234],"a":[40,75,124,235,256],"rural":[41,76,238,269],"health":[42,77,239],"system.":[43],"This":[44],"study":[45],"evaluated":[46,131],"implementation":[48],"its":[50],"impact":[51],"on":[52,123],"participants'":[53],"confidence":[54,119,145,152,189,207],"managing":[56],"emergencies.":[58],"Methodology":[59],"An":[60],"situ,":[62],"simulation-based":[63],"emergency":[65,262],"training":[66,88,164],"delivered":[69],"eight":[71],"community":[72],"within":[74],"system":[78,240],"from":[79,186],"2022":[80],"2025.":[82],"Each":[83],"site":[84],"received":[85],"two":[86],"half-day":[87],"visits":[89,140],"approximately":[90],"one":[91],"year":[92],"apart.":[93],"curriculum":[95],"incorporated":[96],"targeted":[97],"skills":[98],"stations,":[99],"high-fidelity":[100],"situ":[102],"simulations,":[103],"structured":[105],"debriefings.":[106],"Participant":[107],"demographic":[108],"information":[109],"collected,":[111],"anonymous":[113],"pre-":[114,133],"post-training":[116,135],"surveys":[117],"assessed":[118,178],"multiple":[121],"domains":[122,179],"five-point":[125],"Likert":[126,200],"scale.":[127],"Linear":[128],"mixed-effects":[129],"models":[130],"aggregate":[132],"changes":[136],"sites":[138,158,215],"differences":[142,204,218],"baseline":[144,206],"between":[146,210,214],"the":[147,171],"first":[148],"second":[150],"visit;":[151],"also":[154],"compared":[155],"hospital":[157],"professions.":[160],"Results":[161],"Across":[162],"16":[163],"sessions,":[165],"287":[166],"participants":[168],"engaged":[169],"program.":[172],"Confidence":[173],"increased":[174],"significantly":[175],"all":[177],"following":[180],"training,":[181],"with":[182,244],"mean":[183],"improvements":[184,246],"ranging":[185],"0.24":[187],"(95%":[188,196],"interval":[190],"(CI)":[191],"=":[192,198],"0.11-0.37)":[193],"0.51":[195],"CI":[197],"0.35-0.68)":[199],"points.":[201],"No":[202],"significant":[203,217,245],"were":[208],"observed":[209],"visits.":[211],"Pre-training":[212],"comparisons":[213],"identified":[216],"perceived":[220],"resources,":[221],"confidence,":[223],"cohesion.":[226],"Conclusions":[227],"MOMSim":[229],"successfully":[232],"implemented":[233],"geographically":[236],"dispersed":[237],"associated":[243],"confidence.":[250],"Systemwide":[251],"simulation":[252],"outreach":[253],"may":[254],"provide":[255],"feasible":[257],"approach":[258],"strengthening":[260],"team-based":[265],"of":[267],"low-volume":[268],"delivery":[270],"units.":[271]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-10-06T00:00:00"}