The PROMPT course satisfies national recommendations for the regular training in emergency obstetric care for all staff in maternity units. 80% of units in England have attended a PROMPT T3 Course and are using the materials as part of their annual mandatory training courses. T3 Training has been provided to units in Scotland, Wales and Northern Ireland.
In 2018, in Wales, the Welsh Risk Pool are collaborating with the PROMPT Maternity Foundation to introduce PROMPT Training to 12 units with a view to training 100% of staff within a one year roll out of local training. Two T3 days were run in May and June 2018 with excellent feedback from participants. A developed timeline of of Implementation support to assist all units in initial set up and running of their local PROMPT courses to maintain momentum and ensure quality control of the PROMPT package. As part of the implementation of PROMPT we are planning to obtain Safety Attitude Questionnaire (SAQ) data from all units pre-and post- implementation, to assess for culture change in the units following PROMPT.
Australia and New Zealand
The first PROMPT train-the-trainers courses were held in Australia and New Zealand in 2005, since that time PROMPT courses have been continually held in both countries.
The Auckland PROMPT team have been instrumental in helping to disseminate PROMPT in the Pacific Islands.
The Victoria Managed Insurance Authority intially rolled out the PROMPT Training in eight Victorian (Melbourne), hospitals in 2010, by late 2016 it has been progressively expanded to 31 hospitals across the state, responsible for delivery of 86% of births in Victoria.
A PROMPT train-the-trainers course was held in the Bahamas in February 2011.
Cairo has hosted an extremely successful T3 training session where the local teams recognised the importance of training together. It is hoped that as the country stabilises, further training will ensure PROMPT spreads throughout the region.
PROMPT has been running in Fiji since 2009 after a Fijian team of midwives and doctors attended a PROMPT workshop in Auckland, New Zealand. Following this success, the New Zealand PROMPT faculty helped to establish PROMPT training in the Cook Islands. We are hopeful that PROMPT can be disseminated to other Pacific Islands in the near future.
PROMPT courses have been held for obstetricians and midwives in Hong Kong and Mainland China since 2008, led by Prof. TY Leung. Work is currently underway with Central Agencies in China to make a full roll out of PROMPT across China a reality.
In 2010 the first PROMPT train-the-trainers course was held in Dublin for multi-professional maternity teams from across Ireland. PROMPT training is now run in many maternity units in Ireland. In 2017, the PMF faculty launched PROMPT 3 in Dublin to 14 hospital teams with further teams attending training in 2018.
A feasibility study was conducted to investigate the potential implementation of the PRactical Obstetric Multi‐Professional Training (PROMPT) program at eight urban tertiary hospitals in the Philippines – the study was called Project Hope. Multi‐professional teams attended a 2‐day course on September 23 and 24, 2015, that comprised a demonstration PROMPT course (day 1) and a Train‐the‐Trainers session (day 2). During a facilitated adaptation session, each team reviewed the PROMPT algorithms for eclampsia, severe pre‐eclampsia, postpartum hemorrhage and sepsis. The teams marked steps concordant with local practice and identified differences with local practice. Suggested amendments were reviewed by the PROMPT project team, using clinical guidelines to support any adaptations.
The PROMPT algorithm for initial management of eclampsia was used as an exemplar. Five of the nine management steps were concordant with local practice: support; airway; breathing; circulation; and control seizures. Amendments were successfully implemented for the following steps: call for help; magnesium sulfate loading dose; and magnesium sulfate maintenance dose.
Rapid and efficient adaptation of PROMPT training materials for use in the Philippines was possible using a facilitated and focused approach, utilizing the expertise of a representative mix of local healthcare professionals and evidence‐based guidelines.
In March 2018, Dr. Nayda Bautista, Project HOPE co-ordinator, reported the implementation of Project HOPE’s Practical Obstetric Multi-Professional Training (PROMPT) in seven pilot hospitals in Metro Manila and Visayas resulted in the reduction of maternal and neonatal mortality.
PROMPT T3 Training was introduced to Singhealth, PROMPT Licence holders, in March 2018 and they are launching their first PROMPT T3 Course in November 2018, and teams from Singapore, Malaysia, Indonesia, Brunei, Cambodia, Myanmar, Thailand and Vietnam are invited to attend.
Trinidad and Tobago
A PROMPT train-the-trainers course was held in Trinidad in November 2010
United States of America
PROMPT in USA has been successfully adapted for American staff and taught in Kansas since 2006. There is growing evidence of its effectiveness with a reduction in the caesarean section rate and a decrease in the decision to delivery time for emergency caesarean sections since the introduction of training.
PROMPT – Practical Obstetric Multi-Professional Training has been approved to meet American Board of Obstetrics and Gynaecology Part IV improvement in Medical Practice Requirements for 2016 and 2017. The ABOG MOC Standards now allow participation in ABOG-approved Simulation Courses to meet the annual Improvment in Medical Practice (Part IV) MOC requirement. You can review the 2016 MOC Bulletin here .
PROMPT training has been successfully adapted and adopted at Mpilo Central Hospital, Bulawayo, Zimbabwe following a train-the-trainers course held at the Hospital in November 2011. Since then the midwives and doctors at Mpilo have run six PROMPT courses and have trained 136 members of their staff. The hospital are currently monitoring the effect that instigating training has had on the clinical outcomes at Mpilo.
A roll out of PROMPT training across Zimbabwe was undertaken, with the next train-the-trainers course held in Gweru in November 2012. PROMPT training is particularly suitable for low-resource settings as training is run locally, for local staff, by local staff. This project was kindly supported by Laerdal Medical, Limbs and Things Ltd, The Bristol University Alumni Fund and a THET/UK Department for International Development (DfID) Health Partnership Grant
In 2015 participants from across the units of St. Alberts, St. Luke’s and Muvonde Mission Hospital in Zimbabwe attended PROMPT training.
Training methods of Lectures and Drills were used during which each participant had the opportunity to take part during the different drills which made the training more meaningful to practice real life situations. The ZCBC Health Commission provided emergency boxes for the hospitals with printed and laminated algorithms for each box.
In 2018, the Mpilo Hospital unit launched their Maternity Dashboard, which involved resetting dashboard targets due to significant milestones having been achieved.
Global reach of PROMPT training