Evidence map›Paper›PMID 42529692›Full record

ArticleCureus2026

Clinical Simulation in Maternal Code: Healthcare Personnel Satisfaction and Participant Characteristics.

Ana María Sandoval Moreno, Lesly Aurora Rivera Villalobos, Leonardo Prado Carvajal, Oscar Alejandro Carmona Hidalgo, Enrique Guillermo Alonso Maldonado, Marisela Camarena Hermosillo, Juan Luis Aceves Siordia, Fátima Daniela Barba Moreno, Guadalupe Deribet López Rodriguez, Yaocihuatl Castañeda Borrayo

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ana María Sandoval MorenoClinical Simulation Center for Clinical and Surgical Excellence (CeSiECQ), Instituto Mexicano del Seguro Social (IMSS), Guadalajara, MEX.
Lesly Aurora Rivera VillalobosClinical Simulation Center for Clinical and Surgical Excellence (CeSiECQ), Instituto Mexicano del Seguro Social (IMSS), Guadalajara, MEX.
Leonardo Prado CarvajalClinical Simulation Center for Clinical and Surgical Excellence (CeSiECQ), Instituto Mexicano del Seguro Social (IMSS), Guadalajara, MEX.
Oscar Alejandro Carmona HidalgoClinical Simulation Center for Clinical and Surgical Excellence (CeSiECQ), Instituto Mexicano del Seguro Social (IMSS), Guadalajara, MEX.
Enrique Guillermo Alonso MaldonadoClinical Simulation Center for Clinical and Surgical Excellence (CeSiECQ), Instituto Mexicano del Seguro Social (IMSS), Guadalajara, MEX.
Marisela Camarena HermosilloClinical Simulation Center for Clinical and Surgical Excellence (CeSiECQ), Instituto Mexicano del Seguro Social (IMSS), Guadalajara, MEX.
Juan Luis Aceves SiordiaClinical Simulation Center for Clinical and Surgical Excellence (CeSiECQ), Instituto Mexicano del Seguro Social (IMSS), Guadalajara, MEX.
Fátima Daniela Barba MorenoClinical Simulation Center for Clinical and Surgical Excellence (CeSiECQ), Instituto Mexicano del Seguro Social (IMSS), Guadalajara, MEX.
Guadalupe Deribet López RodriguezClinical Simulation Center for Clinical and Surgical Excellence (CeSiECQ), Instituto Mexicano del Seguro Social (IMSS), Guadalajara, MEX.
Yaocihuatl Castañeda BorrayoClinical Simulation Center for Clinical and Surgical Excellence (CeSiECQ), Instituto Mexicano del Seguro Social (IMSS), Guadalajara, MEX.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMaternal mortality remains a priority public health issue and a sensitive indicator of healthcare system performance. Clinical simulation has been increasingly adopted as an educational strategy to prepare healthcare personnel for obstetric emergencies. This study aimed to describe the sociodemographic and occupational characteristics of participants in the Código Mater course and to evaluate their satisfaction and perceptions regarding a simulation-based educational strategy. MATERIALS AND

methodsAn observational, descriptive, and cross-sectional study was conducted at the Centro de Simulación para la Excelencia Clínica y Quirúrgica (CeSiECQ), a regional simulation center of a public healthcare institution in western Mexico, between May 2022 and December 2025. A total of 577 healthcare professionals participated through non-probability convenience sampling. Sociodemographic and occupational characteristics were analyzed, and participant satisfaction was assessed using an institutional questionnaire consisting of closed-ended and open-ended items. Quantitative data were analyzed descriptively, and participant comments were examined through inductive thematic analysis.

resultsParticipants were predominantly young adults aged 22-30 years (n = 494; 85.6%) and female (n = 388; 67.2%). Physicians represented the largest professional group, including operational physicians (n = 321; 55.6%), followed by medical residents (n = 87; 15.1%) and interns or social service trainees (n = 85; 14.7%). Most participants were affiliated with regional general hospitals (n = 204; 35.4%) and general zone hospitals (n = 124; 21.5%). Satisfaction levels were consistently high across all evaluated domains. Qualitative findings identified five major themes: quality of the educational experience, relevance of course content, instructor performance, perceived applicability to clinical practice, and course organization.

conclusionsParticipants reported highly favorable perceptions of the Código Mater simulation-based course. Within the scope of Kirkpatrick Level 1 (Reaction), the findings indicate a high level of acceptance of simulation-based training and highlight its perceived relevance and applicability for obstetric emergency education. Further studies incorporating objective educational and clinical outcomes are required to evaluate the broader impact of the program.

Indexed as

clinical simulationhealthcare personnelmaternal safetymedical educationmultidisciplinary trainingobstetric emergenciesobstetric simulationsafety patientsatisfactionsimulation training

Identifiers

PMID42529692
PMCPMC13418727

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.