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RCOG World Congress 2023
June 12 - 14, 2023 | London, UK
EP.0018
Establishing a Multidisciplinary Course in a Post-Ockenden Era: A Success Story
Poster Presenter
Part of Topic
Medical Education
How to Establish a Multidisciplinary Course in a Post-Ockenden Era: A Success Story
Dr Rishita Shah1, Ms Kade Mondeh2,4, Dr Fiona Murray3,4, Dr Jessica Hoyle3,4, Ms Hajera Rahman2, Ms Doreen Oforiwaa2, Miss Fiona Cheong-See1
Departments of Obstetrics & Gynaecology1, Midwifery2, Anaesthetics3, Simulation and Medical Education4, Whipps Cross University Hospital, Barts Health NHS Trust, UK
Objectives
•The Ockenden review 2021[1] was the largest of its kind, publishing 15 immediate and essential actions (IEAs) for maternity units across England to improve care and safety.
•One such IEA emphasises multidisciplinary training - staff working together should train together.
•Maternity units commonly run emergency simulation sessions, these do not routinely address non-clinical failures highlighted by reports including escalation barriers, team dynamics and human factors.
•Opening a two-way communication channel between clinical and management staff can also be challenging.
•AIM: We sought to develop a free multidisciplinary training course for maternity staff addressing these issues and assessing for changes in attitudes towards perception of safety in the workplace.
Methods
•This is a descriptive study - a multidisciplinary faculty with an interest in education including obstetricians, anaesthetists and midwives designed the Post Ockenden Multi-Professional Training (POMPT) course at a University teaching hospital. After the pilot course, a bid for a £35,000 grant from Health Education England (HEE) was won to continue the course for 6 months.
•The pilot course ran in May 2022 exploring themes from the Ockenden report and take home messages from NHS resolutions for our local trust; delegate spaces were equally allocated to obstetricians, midwives and anaesthetists and numbers with a course capacity of 18 attendees.
•Due to popular demand, three further courses were held; there is currently a waiting list for upcoming sessions (the next course is in July 2023).
•Senior management including the CEO, Chief Nurse, Divisional Manager, Clinical Director, Associate Head of Midwifery attended the course and participated in discussions.
•Attendees anonymously rated the course and completed a standardised safety attitudes questionnaire pre-course, immediately and at least six months post course.
•Quantitative data was analysed with excel, thematic analysis was undertaken of qualitative data.
Results
•A total of 59 delegates attended the course between May 2022 to March 2023. Data for March 2023 was not available at time of poster (n=15).
•The mean course rating was 4.9/5.
•There was an immediate and long term improvement in the safety attitudes post attendance (Figure 3 & 4).
•Dynamically taking on feedback, theatre staff were invited to participate as a key delegate subgroup.
•The simulation scenarios were also replaced with a multidisciplinary team escape game with a simulated ‘real life scenario’.
•MDT training & involvement, the escape room and updates from the Ockenden report/NHS resolutions were the most popular elements of the course respectively (Table 1). The course was praised in providing an opportunity to share experiences and finding ways to improve communication.
Conclusions
•Dynamically taking on feedback, theatre staff were invited to participate as a key delegate subgroup.
•The simulation scenarios were also replaced with a multidisciplinary team escape game with a simulated ‘real life scenario’.
•MDT training & involvement, the escape room and updates from the Ockenden report/NHS resolutions were the most popular elements of the course respectively (Table 1). The course was praised in providing an opportunity to share experiences and finding ways to improve communication.
References: [1] Ockenden D, Findings, Conclusions and Essential Actions from The Independent Review of Maternity Services at the Shrewsbury and Telford Hospital NHS Trust (2022), https://www.ockendenmaternityreview.org.uk/wp-content/uploads/2022/03/FINAL_INDEPENDENT_MATERNITY_REVIEW_OF_MATERNITY_SERVICES_REPORT.pdf [Accessed 30th May 2023]