Trial reportBMJ quality & safety2020
Effect of hands-on interprofessional simulation training for local emergencies in Scotland: the THISTLE stepped-wedge design randomised controlled trial.
Trial report in BMJ quality & safety, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Evaluating the impact of simulation on patient outcomes in pediatric and neonatal critical care: a systematic review and critical appraisal of the evidence.European journal of pediatrics · 2026Pooled it
- Reported problems and responses during the conduct of stepped-wedge cluster randomized trials in healthcare settings: a qualitative systematic review.International journal of epidemiology · 2026Pooled it
- Practical obstetric multi-professional training (PROMPT): the evidence for effective training.Archives of gynecology and obstetrics · 2025Pooled it
- The effects of obstetric emergency team training on patient outcome: A systematic review and meta-analysis.Acta obstetricia et gynecologica Scandinavica · 2022Pooled it
- Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance.The Cochrane database of systematic reviews · 2020Pooled it
- Considerations Before Selecting a Stepped-Wedge Cluster Randomized Trial Design for a Practice Improvement Study.Annals of family medicineTrial
- The effect of comprehensive developmental positioning program training on nurses' performance and infant comfort hospitalized in the neonatal intensive care unit.BMC medical education · 2025Article
- Quality and reporting of large-scale improvement programmes: a review of maternity initiatives in the English NHS, 2010-2023.BMJ quality & safety · 2024Review
- Virtual simulation training for postpartum hemorrhage in low-to-moderate-volume hospitals in the US.AJOG global reports · 2024Article
- An exploration of maternity and newborn exposure, training and education among staff working within the North West Ambulance Service.British paramedic journal · 2022Article
- Article
- How often will midwives and obstetricians experience obstetric emergencies or high-risk deliveries: a national cross-sectional study.BMJ open · 2021Article
- PROMPT Wales project: national scaling of an evidence-based intervention to improve safety and training in maternity.BMJ open quality · 2021Article
- Cutting edge or blunt instrument: how to decide if a stepped wedge design is right for you.BMJ quality & safety · 2021Review
- Global Survey of Perceptions of the Surgical Safety Checklist Among Medical Students, Trainees, and Early Career Providers.World journal of surgery · 2020Article
- Novel methods for the analysis of stepped wedge cluster randomized trials.Statistics in medicine · 2020Article
- Using the Kirkpatrick Model to evaluate the Maternity and Neonatal Emergencies (MANE) programme: Background and study protocol.BMJ open · 2020Article
- Design, rationale and analysis plan for the Stand Up for Health trial in contact centres: a stepped wedge feasibility study.Pilot and feasibility studies · 2020Article
Corrections and comments
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Authors and funding
14 authors.
Funding
Abstract
objectiveTo 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
designStepped-wedge cluster randomised controlled trial.
settingTwelve 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.
interventionThe PROMPT training package (Second edition), with subsequent unit-level implementation of PROMPT courses for all maternity staff.
main outcome measuresThe primary outcome was the proportion of term babies with Apgar<7
results87 204 eligible births (99.2% with an Apgar score), of which 1291 infants had an Apgar<7
conclusionsPROMPT training, as implemented, had no effect on the rate of Apgar <7 TRIAL REGISTRATION NUMBER: ISRCTN11640515.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.