title: Identifying Deteriorating Patients Through Multidisciplinary Team Training.
abstract: Multidisciplinary training has improved maternity outcomes when the training has been well attended, regular, in house, used high-fidelity simulators, and integrated teamwork training. If these principles were used in other settings, better clinical care may result. This before-after study sought to establish whether a short multidisciplinary training intervention can improve recognition of the deteriorating patient using an aggregated physiological parameter scoring system (Early Warning Score [EWS]). Nursing, medical, and allied nursing staff participated in an hour-long training session, using real-life scenarios with simple tools and structured debriefing. After training, staff were more likely to calculate EWS scores correctly (68.02% vs 55.12%; risk ratio [RR] = 1.24, 95% confidence interval [CI] = 1.07-1.44), and observations were more likely to be performed at the correct frequency (78.57% vs 68.09%; RR = 1.20, 95% CI = 1.09-1.32). Multidisciplinary training, according to core principles, can lead to more accurate identification of deteriorating patients, with implications for subsequent care and outcome.
authors.affiliation: University of Bristol, Chilterns, UK abi.merriel@bristol.ac.uk.|North Bristol Trust, UK.|University of Birmingham, UK.
authors.forename: Abi
authors.initials: A
authors.lastname: Merriel
authors.affiliation: University of Bristol, Chilterns, UK.|North Bristol Trust, UK.
authors.forename: Helen
authors.initials: H
authors.lastname: van der Nelson
authors.affiliation: University of Bristol, Chilterns, UK.
authors.forename: Sam
authors.initials: S
authors.lastname: Merriel
authors.affiliation: North Bristol Trust, UK.
authors.forename: Joanne
authors.initials: J
authors.lastname: Bennett
authors.affiliation: North Bristol Trust, UK.
authors.forename: Fiona
authors.initials: F
authors.lastname: Donald
authors.affiliation: University of Bristol, Chilterns, UK.|North Bristol Trust, UK.
authors.forename: Timothy
authors.initials: T
authors.lastname: Draycott
authors.affiliation: University of Bristol, Chilterns, UK.|North Bristol Trust, UK.
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Siassakos
mesh_terms: D065187:Controlled Before-After Studies; D003422:Critical Care / Q000379:methods / Q000458:organization & administration; D016638:Critical Illness / Q000628:therapy*; D006801:Humans; D007318:Inservice Training / Q000379:methods* / Q000458:organization & administration; D033183:Interdisciplinary Communication; D010043:Outcome and Process Assessment, Health Care; D010348:Patient Care Team / Q000458:organization & administration*; D058996:Quality Improvement; D055986:Vital Signs
keywords: Early Warning Score; multiprofessional training; simulation; teamwork training