Skills and drills: are they worth the effort?

Collins, Katherine J.; Draycott, Timothy

doi:10.1016/j.ogrm.2015.09.003

Cited by 4 publications

(3 citation statements)

References 4 publications

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“…In-service training in Emergency Obsteric Care is considered to be an effective way to improve knowledge and skills of healthcare providers, which should improve performance, lead to better recognition and management of women who have complications during and after pregnancy or at the time of birth and can potentially reduce morbidity and mortality. In this respect, the wider health, social and economic benefits resulting from relatively small investments in training can be substantial, suggesting that these investments are likely to be good value-for-money [ 63 ]. The findings from this review underscore the need for more cost-effectiveness studies while strategically exploring approaches that maximise cost-savings for implementation.…”

Section: Discussionmentioning

confidence: 99%

Economic evaluation of emergency obstetric care training: a systematic review

Banke-Thomas

Wilson-Jones

Madaj

et al. 2017

BMC Pregnancy Childbirth

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BackgroundTraining healthcare providers in Emergency Obstetric Care (EmOC) has been shown to be effective in improving their capacity to provide this critical care package for mothers and babies. However, little is known about the costs and cost-effectiveness of such training. Understanding costs and cost-effectiveness is essential in guaranteeing value-for-money in healthcare spending. This study systematically reviewed the available literature on cost and cost-effectiveness of EmOC trainings.MethodsPeer-reviewed and grey literature was searched for relevant papers published after 1990. Studies were included if they described an economic evaluation of EmOC training and the training cost data were available. Two reviewers independently searched, screened, and selected studies that met the inclusion criteria, with disagreements resolved by a third reviewer. Quality of studies was assessed using the Consolidated Health Economic Evaluation Reporting Standards statement. For comparability, all costs in local currency were converted to International dollar (I$) equivalents using purchasing power parity conversion factors. The cost per training per participant was calculated. Narrative synthesis was used to summarise the available evidence on cost effectiveness.ResultsFourteen studies (five full and nine partial economic evaluations) met the inclusion criteria. All five and two of the nine partial economic evaluations were of high quality. The majority of studies (13/14) were from low- and middle-income countries. Training equipment, per diems and resource person allowance were the most expensive components. Cost of training per person per day ranged from I$33 to I$90 when accommodation was required and from I$5 to I$21 when training was facility-based. Cost-effectiveness of training was assessed in 5 studies with differing measures of effectiveness (knowledge, skills, procedure cost and lives saved) making comparison difficult.ConclusionsEconomic evaluations of EmOC training are limited. There is a need to scale-up and standardise processes that capture both cost and effectiveness of training and to agree on suitable economic evaluation models that allow for comparability across settings.Trial registration PROSPERO_CRD42016041911.Electronic supplementary materialThe online version of this article (10.1186/s12884-017-1586-z) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Economic evaluation of emergency obstetric care training: a systematic review

Banke-Thomas

Wilson-Jones

Madaj

et al. 2017

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

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“…The contingency plan shall emphasize various things, including encouragement of teleworking, medical screening, follow-up the cases, training and information, and return-to-work assistance [14]. The plan may also forecast other problem that may emerge as a result of a pandemic such as absenteeism, workforce reduction, and interrupted supply chain [15]. This study confirmed that most of the subjects followed the recommendation to implement the COVID-19 contingency plan by creating the emergency response team.…”

Section: Resultsmentioning

confidence: 99%

“…However, we found that less than half of the respondents have not conducted any form of emergency preparedness exercise. Despite the benefits, lack of interest and perceived the exercise as stressful or unpleasant might be responsible for this finding [15].…”

Section: Resultsmentioning

confidence: 99%

Assessment of precautionary measures against COVID-19 in Indonesian workplaces

Pratama¹,

Supriyadi²,

Sari

2021

IJPHS

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As the coronavirus disease 19 (COVID-19) pandemic spread across Indonesia, the precautionary measures have been taken by nearly all stakeholders, including industries and employers. The purpose of this study is to assess the measures took against COVID-19 pandemic in the workplaces across the country. This research involved participants from 103 different companies using a questionnaire adapted from Better Work Indonesia (BWI), occupational safety and health association (OSHA) and centers for disease control and prevention (CDC) COVID-19 guidelines. The data analysis conducted with descriptive statistics that resulted with the following key findings. Indonesian companies have taken precautionary measures against COVID-19 at their workplace. Most aspects of COVID-19 preventive measures: policy and procedure, operational aspect, health and safety, and external activities have been observed by the vast majority of the subjects. This study found that among 30 COVID-19 programs, the emergency exercise at work was the only one that had not been conducted by more than half of respondents. As the number of active cases still growing at the time this study conducted, all precautionary measures against COVID-19 shall be carried out with consistency by the company management).

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PROMPT Wales project: national scaling of an evidence-based intervention to improve safety and training in maternity

et al. 2021

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BackgroundIn healthcare, there is increasing recognition of the importance of developing and testing strategies to scale effective interventions. The NHS long-term plan (2019) acknowledges that often a gold standard approach to a problem already exists somewhere within the NHS, however, it has not been replicated widely across the system.MethodsWe describe the approach and process measures for national scaling of PROMPT (Practical Obstetric Multi-Professional Training) across 12 obstetric-led maternity units in Wales. PROMPT is an evidence-based training package for local maternity staff, previously associated with improvements in maternal and neonatal outcomes, reduction in litigation related to preventable harm and improved safety culture. PROMPT has previously been disseminated internationally using a train-the-trainer model. However, this has been associated with variations in uptake, fidelity and impact. In Wales, the project was supported by Welsh Government, and a structured scaling plan was developed, encompassing ongoing implementation support from a multi-professional team.ResultsPROMPT was successfully implemented in all obstetric led units in Wales, with 326 local PROMPT facilitators trained, and 82.5%–100% of maternity staff attended a local PROMPT course in the first 15 months of the project (January 2019–March 2020). All training courses included evidence-based authentic elements, and 93% of courses in the first year (100/107) were supported by a national implementation team, providing coaching, implementation support and quality assurance.ConclusionsAuthentically scaling up complex interventions is a significant challenge. To replicate the improved outcomes demonstrated by PROMPT, intervention reach and fidelity must first be demonstrated.In this national scaling project, our scaling methodology led to the successful implementation of PROMPT across all health boards in Wales. Additionally, we demonstrated reduced variation in adoption, reach, timescale and intervention fidelity between maternity units with varying readiness for change, which had been difficult in two previous large-scale PROMPT implementation projects.

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Skills and drills: are they worth the effort?

Cited by 4 publications

References 4 publications

Economic evaluation of emergency obstetric care training: a systematic review

Economic evaluation of emergency obstetric care training: a systematic review

Assessment of precautionary measures against COVID-19 in Indonesian workplaces

PROMPT Wales project: national scaling of an evidence-based intervention to improve safety and training in maternity

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