Evaluating an enhanced quality improvement intervention in maternity units: PReCePT trial protocol.
| Title: | Evaluating an enhanced quality improvement intervention in maternity units: PReCePT trial protocol. |
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| Authors: | Edwards H; Applied Research Collaboration West (NIHR ARC West), National Institute for Health Research, Bristol, UK.; Population Health Sciences, University of Bristol, Bristol, UK.; Redaniel MT; Applied Research Collaboration West (NIHR ARC West), National Institute for Health Research, Bristol, UK Theresa.Redaniel@bristol.ac.uk.; Population Health Sciences, University of Bristol, Bristol, UK.; Opmeer B; Applied Research Collaboration West (NIHR ARC West), National Institute for Health Research, Bristol, UK.; Peters T; Population Health Sciences, University of Bristol, Bristol, UK.; Margelyte R; Applied Research Collaboration West (NIHR ARC West), National Institute for Health Research, Bristol, UK.; Population Health Sciences, University of Bristol, Bristol, UK.; Sillero Rejon C; Applied Research Collaboration West (NIHR ARC West), National Institute for Health Research, Bristol, UK.; Population Health Sciences, University of Bristol, Bristol, UK.; Hollingworth W; Applied Research Collaboration West (NIHR ARC West), National Institute for Health Research, Bristol, UK.; Population Health Sciences, University of Bristol, Bristol, UK.; Craggs P; Research and Innovation, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.; Hill E; Applied Research Collaboration West (NIHR ARC West), National Institute for Health Research, Bristol, UK.; Population Health Sciences, University of Bristol, Bristol, UK.; Redwood S; Applied Research Collaboration West (NIHR ARC West), National Institute for Health Research, Bristol, UK.; Population Health Sciences, University of Bristol, Bristol, UK.; Donovan J; Population Health Sciences, University of Bristol, Bristol, UK.; Luyt K; Translational Health Sciences, University of Bristol, Bristol, UK.; Neonatology, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK. |
| Source: | BMJ open quality [BMJ Open Qual] 2021 May; Vol. 10 (2). |
| Publication Type: | Clinical Trial Protocol; Journal Article; Research Support, Non-U.S. Gov't |
| Language: | English |
| Journal Info: | Publisher: BMJ Publishing Group Country of Publication: England NLM ID: 101710381 Publication Model: Print Cited Medium: Internet ISSN: 2399-6641 (Electronic) Linking ISSN: 23996641 NLM ISO Abbreviation: BMJ Open Qual Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BMJ Publishing Group |
| MeSH Terms: | Obstetric Labor, Premature* ; Quality Improvement*; Cost-Benefit Analysis ; England ; Female ; Humans ; Infant, Newborn ; Pregnancy ; Randomized Controlled Trials as Topic ; State Medicine |
| Abstract: | The UK's National Institute for Health and Care Excellence Preterm labour and birth guideline recommends use of magnesium sulfate (MgSO4) in deliveries below 30 weeks' gestation to prevent cerebral palsy and other neurological problems associated with preterm delivery. Despite national guidance, the uptake of MgSO4 administration in eligible women has been slow. National Health Service England has rolled out the PReCePT (PRevention of Cerebral Palsy in Pre-Term labour) quality improvement (QI) toolkit to increase uptake of MgSO4 in preterm deliveries. The toolkit is designed to increase maternity staff knowledge about MgSO4 and provides training and practical tools to help staff consider use in eligible women. The PReCePT trial compares the effectiveness of two different methods of implementing the QI toolkit (standard versus enhanced support). The standard support arm (control) receives the QI toolkit and regional-level support for a midwife/obstetric 'champion'. The enhanced support arm (intervention) receives this plus additional clinical backfill funding and unit-level QI microcoaching. It is funded by The Health Foundation. This is a cluster randomised controlled trial designed to include 48 maternity units randomised (2:1 ratio) to standard or enhanced support. Units are eligible for inclusion if they have 10 or more preterm ( |
| Competing Interests: | Competing interests: None declared. |
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| Contributed Indexing: | Keywords: cerebral palsy; cluster trials; maternal health services; obstetrics and gynecology; quality improvement |
| Molecular Sequence: | ISRCTN ISRCTN40938673 |
| Entry Date(s): | Date Created: 20210525 Date Completed: 20210929 Latest Revision: 20240810 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC8149440 |
| DOI: | 10.1136/bmjoq-2020-001204 |
| PMID: | 34031151 |
| Database: | MEDLINE |
Clinical Trial Protocol; Journal Article; Research Support, Non-U.S. Gov't