61: 5-year experience with PROMP (PRactical Obstetric Multidisciplinary Training) reveals sustained and progressive improvements in obstetric outcomes at a US hospital

Weiner, Carl P.; Samuelson, Linda C.; Collins, L; Satterwhite, Catherine Lindsey

doi:10.1016/j.ajog.2013.10.094

Cited by 20 publications

(12 citation statements)

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“…Stickers have been recommended in Sweden [18,44], and where they have been introduced as part of a multi-professional training programme, there have been significant improvements in the number of infants born in poor condition in both the US [19,33] and Australia [20,34].…”

Section: Myth 2: Training Is Knowledge Transfermentioning

confidence: 99%

Myths and realities of training in obstetric emergencies

Draycott

Collins

Crofts

et al. 2015

Best Practice & Research Clinical Obstetrics & Gynaecol

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Section: Myth 2: Training Is Knowledge Transfermentioning

confidence: 99%

Myths and realities of training in obstetric emergencies

Draycott

Collins

Crofts

et al. 2015

Best Practice & Research Clinical Obstetrics & Gynaecol

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“…Three studies reported on the decrease of birth trauma after training, one unspecified [60] and two on brachial plexus injury [34,44]. An abstract on an Americanised PROMPT study not included in our review also reported significant reductions in brachial plexus injuries and perinatal HIE [80]. The QUARITE trial could only demonstrate a significant decrease in neonatal mortality in hospitals in the capitals of Mali and Senegal [36].…”

Section: Impact Of Skill Training In Emergency Obstetric and Neonatalmentioning

confidence: 99%

What is the impact of multi-professional emergency obstetric and neonatal care training?

Bergh

Baloyi

Pattinson

2015

Best Practice & Research Clinical Obstetrics & Gynaecol

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This paper reviews evidence regarding change in healthcare-provider behaviour and maternal and neonatal outcomes as a result of emergency obstetric and neonatal care (EmONC) training. A refined version of the Kirkpatrick classification for programme evaluation was used to focus on change in efficiency and impact of training (levels 3 and 4). Twenty-three studies were reviewed -5 randomised controlled trials, 2 quasi-experimental studies and 16 before-and-after observational studies. Training programmes had all been developed in highincome countries and adapted for use in low-and middle-income countries. Nine studies reported on behaviour change and 13 on process and patient outcomes. Most showed positive results. Every maternity unit should provide EmONC teamwork training, mandatory for all healthcare providers. The challenges are: scaling up such training to all institutions; sustaining regular in-service training; integrating training into institutional and health-system patient-safety initiatives; and 'thinking-out-of-the-box' in evaluation research.

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“…This commonality of knowledge would potentially allow a desirable distributed model of training to be successful. Models such as this, where skills are taught by centrally trained local faculty to local trainees, and which have been used previously to disseminate ‘best‐practice’ strategies to deal with universal obstetric procedures, such as manoeuvres for shoulder dystocia, have been demonstrated to result in sustained knowledge acquisition, to be relatively low‐cost, and to improve real‐world outcomes in a variety of settings …”

Section: Discussionmentioning

confidence: 99%

Design and development of the BD Odon Device^TM: a human factors evaluation process

O’Brien

Mouser

Odon³

et al. 2017

BJOG

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Objective To (1) determine how intended users interact with and use the BD Odon Device in simulation, (2) use these findings to alter progressively the design of the BD Odon Device and (3) validate that these changes have improved the ability of practitioners to use the BD Odon Device.Design Human factors evaluation study.Setting Simulation suite designed to mimic delivery room.Population or sample Three hundred and ninety simulated operative births, performed by 100 practising clinicians.Methods Simulated operative vaginal births performed using the BD Odon Device and the device Instructions for use were subjected to three formative human factors evaluations and one human factors validation test. Following each evaluation, findings were reviewed and the design of the BD Odon Device and Instructions for use were modified.Main outcome measures Successful performance of an operative vaginal birth using the BD Odon Device in accordance with provided training and Instructions for use.Results Using version two of the BD Odon Device, and following exposure to face-to-face training and written instructions, 25% of accouchers were able successfully to perform a simulated operative vaginal birth. In the final evaluation, following device design and training material alterations, all accouchers were able successfully to perform a simulated operative vaginal birth using version four of the BD Odon Device.Conclusions Human factors evaluations have enabled a multiprofessional device and training materials design team to alter the design of the BD Odon Device and the Instructions for use in an evidence-based fashion. This process has resulted in a device which has a predictable and likely safe pattern of use.Keywords BD Odon Device, human factors, improvements, use.

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61: 5-year experience with PROMP (PRactical Obstetric Multidisciplinary Training) reveals sustained and progressive improvements in obstetric outcomes at a US hospital

Cited by 20 publications

References 0 publications

Myths and realities of training in obstetric emergencies

Myths and realities of training in obstetric emergencies

What is the impact of multi-professional emergency obstetric and neonatal care training?

Design and development of the BD Odon Device^TM: a human factors evaluation process

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61: 5-year experience with PROMP (PRactical Obstetric Multidisciplinary Training) reveals sustained and progressive improvements in obstetric outcomes at a US hospital

Cited by 20 publications

References 0 publications

Myths and realities of training in obstetric emergencies

Myths and realities of training in obstetric emergencies

What is the impact of multi-professional emergency obstetric and neonatal care training?

Design and development of the BD Odon DeviceTM: a human factors evaluation process

Contact Info

Product

Resources

About

Design and development of the BD Odon Device^TM: a human factors evaluation process