Bharathan Rasiah, Farag Mena, Hayes Kevin
a Department of Obstetrics and Gynaecology , St George's Healthcare NHS Trust , Blackshaw Road , Tooting , London , United Kingdom of Great Britain and Northern Ireland and.
b St George's, University of London , Cranmer Terrace , London, United Kingdom of Great Britain and Northern Ireland.
J Obstet Gynaecol. 2016 Aug;36(6):789-793. doi: 10.3109/01443615.2016.1154510. Epub 2016 May 3.
This is the first study to ascertain the value of multidisciplinary team (MDT) meetings within an early pregnancy assessment unit (EPAU). Our national telephone survey identified that in the United Kingdom, overall 37% of EPAU utilise regular MDT meetings. Secondary and tertiary hospitals are just as likely to hold regular MDT meetings. The participants in our interview study expressed the principal benefits of regular MDT meetings as communication, education and effective stress management. The perceived additional benefits included improved care quality, better patient experience and enhanced team cohesion. During the meetings, at least, one representative from every tier of staffing was present. The caseload of the MDT meeting comprised ectopic pregnancies and pregnancies of unknown location. We propose a number of research studies, which would build on this study. Such efforts will help enhance the effectiveness of the MDT-based EPAU service.
这是第一项确定多学科团队(MDT)会议在早期妊娠评估单元(EPAU)中的价值的研究。我们的全国电话调查发现,在英国,总体上37%的EPAU使用定期的MDT会议。二级和三级医院同样有可能召开定期的MDT会议。我们访谈研究中的参与者表示,定期MDT会议的主要好处是沟通、教育和有效的压力管理。感知到的额外好处包括改善护理质量、更好的患者体验和增强团队凝聚力。在会议期间,每个层级的工作人员至少有一名代表出席。MDT会议的病例量包括异位妊娠和位置不明的妊娠。我们提出了一些基于本研究的后续研究。这些努力将有助于提高基于MDT的EPAU服务的有效性。