{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T07:35:08Z","timestamp":1792827308666,"version":"4.5.0"},"reference-count":23,"publisher":"Wiley","issue":"13","license":[{"start":{"date-parts":[[2014,4,21]],"date-time":"2014-04-21T00:00:00Z","timestamp":1398038400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100012750","name":"Eastern Health","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100012750","id-type":"DOI","asserted-by":"crossref"}]},{"name":"VMIA","id":[{"id":"https:\/\/ror.org\/03b2rx920","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To assess the introduction of Practical Obstetric Multi\u2010professional Training (\n                      <jats:styled-content style=\"fixed-case\">PROMPT<\/jats:styled-content>\n                      ) into maternity units and evaluate effects on organisational culture and perinatal outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Maternity units in eight public hospitals in metropolitan and regional Victoria, Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>Staff in eight maternity units and a total of 43\u00a0408 babies born between July 2008 and December 2011.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Representatives from eight Victorian hospitals underwent a single day of training (Train the Trainer), to conduct\n                      <jats:styled-content style=\"fixed-case\">PROMPT<\/jats:styled-content>\n                      . Organisational culture was compared before and after\n                      <jats:styled-content style=\"fixed-case\">PROMPT<\/jats:styled-content>\n                      . Clinical outcomes were evaluated before, during and after\n                      <jats:styled-content style=\"fixed-case\">PROMPT<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>The number of courses run and the proportion of staff trained were determined. Organisational culture was measured using the Safety Attitude Questionnaire. Clinical measures included Apgar scores at 1 and 5\u00a0minutes (Apgar 1 and Apgar 5), cord lactate, blood loss and length of baby's stay in hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seven of the eight hospitals conducted\n                      <jats:styled-content style=\"fixed-case\">PROMPT<\/jats:styled-content>\n                      . Overall about 50% of staff were trained in each year of the study. Significant increases were found in Safety Attitude Questionnaire scores representing domains of teamwork (Hedges\u2019\n                      <jats:italic>g<\/jats:italic>\n                      0.27, 95% confidence interval [95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      ] 0.13\u20130.41), safety (Hedges\u2019\n                      <jats:italic>g<\/jats:italic>\n                      0.28, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      0.15\u20130.42) and perception of management (Hedges\u2019\n                      <jats:italic>g<\/jats:italic>\n                      0.17, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      0.04\u20130.31). There were significant improvements in Apgar 1 (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      0.84, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      0.77\u20130.91), cord lactates (odds ratio 0.92, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      0.85\u20130.99) and average length of baby's stay in hospital (Hedges\u2019\n                      <jats:italic>g<\/jats:italic>\n                      0.03, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      0.01\u20130.05) during or after training, but no change in Apgar 5 scores or proportion of cases with high blood loss.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">PROMPT<\/jats:styled-content>\n                      can be introduced using the Train the Trainer model. Improvements in organisational culture and some clinical measures were observed following\n                      <jats:styled-content style=\"fixed-case\">PROMPT<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.12767","type":"journal-article","created":{"date-parts":[[2014,4,21]],"date-time":"2014-04-21T02:14:43Z","timestamp":1398046483000},"page":"1710-1718","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":87,"title":["Impact of introducing Practical Obstetric Multi\u2010Professional Training (\n                    <scp>PROMPT<\/scp>\n                    ) into maternity units in Victoria, Australia"],"prefix":"10.1111","volume":"121","author":[{"given":"M","family":"Shoushtarian","sequence":"first","affiliation":[{"name":"VicPROMPT Pilot Project Women and Children's Program Eastern Health Melbourne Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Barnett","sequence":"additional","affiliation":[{"name":"VicPROMPT Pilot Project Women and Children's Program Eastern Health Melbourne Vic. Australia"},{"name":"Department of Obstetrics and Gynaecology Box Hill Hospital Eastern Health Melbourne Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F","family":"McMahon","sequence":"additional","affiliation":[{"name":"VicPROMPT Pilot Project Women and Children's Program Eastern Health Melbourne Vic. Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Ferris","sequence":"additional","affiliation":[{"name":"Institute for Social Science Research The University of Queensland Brisbane Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,4,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.00800.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.01801.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31817bbc61"},{"key":"e_1_2_6_5_1","unstructured":"Practical Obstetric Multi\u2010Professional Training. [www.promptmaternity.org\/training\/]. 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