PRactical Obstetric Multi-Professional Training course

Abdelrahman, Abdelmageed; Murnaghan, Mary

doi:10.1136/bmj.e8561

Cited by 6 publications

(6 citation statements)

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“…53 The PROMPT course is focused on multi-professional teams learning how to manage obstetric emergencies, working on their own labour ward, using their own emergency equipment, local procedures, and systems. 54…”

Section: Box 4 Improving Time To Treatment For Myocardial Infarctionmentioning

confidence: 99%

“…17 Even though academic reports commonly separate or seek to separate the two cleanly, the reality is that simulation may have roles in both informing and being informed by other healthcare improvement efforts that cannot easily be distinguished. 53,54 4.2 How Should We Integrate Simulation into Healthcare Improvement?…”

Section: Box 6 Debriefing To Marginal Gainsmentioning

confidence: 99%

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Simulation as an Improvement Technique

Brazil

Purdy

Bajaj

2023

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Historically simulation was used as an education and training technique in healthcare, but now has an emerging role in improving quality and safety. Simulation-based techniques can be applied to help understand healthcare settings and the practices and behaviours of those who work in them. Simulation-based interventions can help to improve care and outcomes – for example, by improving readiness of teams to respond effectively to situations or to improve skill and speed. Simulation can also help test planned interventions and infrastructural changes, allowing possible vulnerabilities and risks to be identified and addressed. Challenges include cost, resources, training, and evaluation, and the lack of connection between the simulation and improvement fields, both in practice and in scholarship. The business case for simulation as an improvement technique remains to be established. This Element concludes by offering a way forward for simulation in practice and for future scholarly directions to improve the approach. This title is also available as Open Access on Cambridge Core.

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Section: Box 4 Improving Time To Treatment For Myocardial Infarctionmentioning

confidence: 99%

Section: Box 6 Debriefing To Marginal Gainsmentioning

confidence: 99%

Simulation as an Improvement Technique

Brazil

Purdy

Bajaj

2023

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“…This included the development of a Practice Educator Network, and wider access to training and shared knowledge and experience. A local adaption of The PRactical Obstetric Multi-Professional Training (PROMPT) (Abdeirahman and Murnaghan, 2013) was used to provide this training and was offered on each of the three sites.…”

Section: Practical Emergency Clinical Skills Trainingmentioning

confidence: 99%

Better training, better births project: a preliminary evaluation

Gale¹,

Hanson²,

Schram³

et al. 2019

MedEdPublish

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This paper describes the experience of planning and presentation of a short human factors training intervention aimed at staff working in maternity services, in light of some challenging conclusions about negative outcomes of existing maternity provision. A local initiative, initiated and supported by Health Education England (HEE) and involving 3 trusts in the north west of England, was aimed at providing appropriate training for senior practitioners. While many participants claimed knowledge of and confidence in Human Factors (HF) issues, the course was well received and ongoing training needs were identified, if only for their junior colleagues. The paper explores plans for a Phase 2 programme which is designed to roll out the training to those junior staff and to begin the process of gathering data from observation of practice on a day to day basis. Data from this activity will inform a plan for Phase 3 when issues of shop floor culture will be subject to productive intervention.

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“…Currently sepsis is diagnosed by incorporating clinical features, examination, physiological parameters and later investigations. The presence of one or more clinical features suggestive of sepsis (online supplemental appendix 1) elicits prompt clinical attention,13 and a thorough history and examination is obtained from the woman and the local clinical algorithm followed. There is no rapid, accurate diagnostic bedside test that can be used to accurately identify maternal sepsis and therefore the diagnosis is predominantly clinical, with the addition of laboratory blood tests (white blood cell count (WBC) and C reactive protein (CRP)) to support clinical diagnosis14 15 (online supplemental appendix 1).…”

Section: Introductionmentioning

confidence: 99%

mSep: investigating physiological and immune-metabolic biomarkers in septic and healthy pregnant women to predict feto-maternal immune health – a prospective observational cohort study protocol

et al. 2022

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Introduction Maternal sepsis remains a leading cause of death in pregnancy. Physiological adaptations to pregnancy obscure early signs of sepsis and can result in delays in recognition and treatment. Identifying biomarkers that can reliably diagnose sepsis will reduce morbidity and mortality and antibiotic overuse. We have previously identified an immune-metabolic biomarker network comprising three pathways with a >99% accuracy for detecting bacterial neonatal sepsis. In this prospective study, we will describe physiological parameters and novel biomarkers in two cohorts—healthy pregnant women and pregnant women with suspected sepsis—with the aim of mapping pathophysiological drivers and evaluating predictive biomarkers for diagnosing maternal sepsis. Methods and analysis Women aged over 18 with an ultrasound-confirmed pregnancy will be recruited to a pilot and two main study cohorts. The pilot will involve blood sample collection from 30 pregnant women undergoing an elective caesarean section. Cohort A will follow 100 healthy pregnant women throughout their pregnancy journey, with collection of blood samples from participants at routine time points in their pregnancy: week 12 ‘booking’, week 28 and during labour. Cohort B will follow 100 pregnant women who present with suspected sepsis in pregnancy or labour and will have at least two blood samples taken during their care pathway. Study blood samples will be collected during routine clinical blood sampling. Detailed medical history and physiological parameters at the time of blood sampling will be recorded, along with the results of routine biochemical tests, including C reactive protein, lactate and white blood cell count. In addition, study blood samples will be processed and analysed for transcriptomic, lipidomic and metabolomic analyses and both qualitative and functional immunophenotyping. Ethics and dissemination Ethical approval has been obtained from the Wales Research Ethics Committee 2 (SPON1752-19, 30 October 2019). Trial registration number NCT05023954 .

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PRactical Obstetric Multi-Professional Training course

Cited by 6 publications

References 0 publications

Simulation as an Improvement Technique

Simulation as an Improvement Technique

Better training, better births project: a preliminary evaluation

mSep: investigating physiological and immune-metabolic biomarkers in septic and healthy pregnant women to predict feto-maternal immune health – a prospective observational cohort study protocol

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