Timothy J Draycott

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OBJECTIVES To explore the effect of obstetric emergency training on knowledge. Furthermore, to assess if acquisition of knowledge is influenced by the training setting or teamwork training. DESIGN A prospective randomised controlled trial. SETTING Training was completed in six hospitals in the South West of England, UK and at the Bristol Medical(More)
INTRODUCTION A long and rich research legacy shows that under the right conditions, simulation-based medical education (SBME) is a powerful intervention to increase medical learner competence. SBME translational science demonstrates that results achieved in the educational laboratory (T1) transfer to improved downstream patient care practices (T2) and(More)
OBJECTIVE To compare the effectiveness of carbetocin and oxytocin when they are administered after caesarean section for prevention of postpartum haemorrhage (PPH). STUDY DESIGN Double-blind randomised single centre study (1:1 ratio). SETTING Teaching hospital in Bristol, UK with 6000 deliveries per annum. POPULATION Women at term undergoing elective(More)
OBJECTIVE To assess the feasibility and validity of a maternal satisfaction measurement tool, the SaFE study Patient Perception Score (PPS), after operative delivery. DESIGN Cross-sectional survey. SETTING A large maternity unit in England. SAMPLE 150 women who had had an operative birth. METHODS We recruited women within 24 hours of birth and(More)
Confidential enquiries into poor perinatal outcomes have identified deficiencies in team working as a common factor and have recommended team training in the management of obstetric emergencies. Isolated aviation-based team training programmes have not been associated with improved perinatal outcomes when applied to labour ward settings, whereas(More)
OBJECTIVE To evaluate the effectiveness of a new handheld vacuum delivery device. DESIGN Randomised controlled trial. SETTING Southmead Hospital, Bristol, UK. POPULATION One hundred and ninety-four women requiring delivery with vacuum extraction. METHODS Women were recruited into the study while still in early labour. If during delivery, vacuum(More)
Our purpose was to investigate health care professionals' beliefs about effective teamwork in medical emergencies based on their experiences. We used framework analysis of interprofessional focus groups in four secondary and tertiary maternity units. The participants were randomly selected senior and junior doctors, senior and junior midwives, and health(More)
OBJECTIVE To identify published maternity intrapartum quality indicators and rationalise them to a core set. STUDY DESIGN Prospective qualitative consensus group exercise. A literature search identified sets of intrapartum quality indicators in the English language. These were rationalised to a shortlist using criteria adapted from 'The Good Clinical(More)
Training for intrapartum emergencies is a promising strategy to reduce preventable harm during birth; however, not all training is clinically effective. Many myths have developed around such training. These principally derive from misinformed beliefs that all training must be effective, cheap, independent of context and sustainable. The current evidence(More)
OBJECTIVE To investigate management and outcomes of incidences of shoulder dystocia in the 12 years following the introduction of an obstetric emergencies training programme. DESIGN Interrupted time-series study comparing management and neonatal outcome of births complicated by shoulder dystocia over three 4-year periods: (i) Pre-training (1996-99), (ii)(More)