Effect of hands-on interprofessional simulation training for local emergencies in Scotland: the THISTLE stepped-wedge design randomised controlled trial.

To assess whether the implementation of an intrapartum training package (PROMPT (PRactical Obstetric Multi-Professional Training)) across a health service reduced the proportion of term babies born with Apgar score <7 at 5 min (<7 Stepped-wedge cluster randomised controlled trial. Twelve randomised maternity units with ≥900 births/year in Scotland. Three additional units were included in a supplementary analysis to assess the effect across Scotland. The intervention commenced in March 2014 with follow-up until September 2016. The PROMPT training package (Second edition), with subsequent unit-level implementation of PROMPT courses for all maternity staff. The primary outcome was the proportion of term babies with Apgar<7 87 204 eligible births (99.2% with an Apgar score), of which 1291 infants had an Apgar<7 PROMPT training, as implemented, had no effect on the rate of Apgar <7 ISRCTN11640515.

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Déclaration de conflit d'intérêts

Competing interests: EL is an employee of the University of Bristol which receives funding from PROMPT charity to pay part of EL’s salary. CW is seconded from North Bristol NHS Trust as the Lead Research Midwife to the PROMPT charity. DS is an invited member of GLOBE, an initiative funded by Ferring. TD is a Trustee of the PROMPT Maternity Foundation charity, which provides PROMPT Training. He is a consultant for Limbs & Things and Laerdal and paid speaker for Ferring Pharmaceuticals. CW, DS and JC are members of the PROMPT Maternity Foundation charity. The remaining authors have no competing interests.