Identifying Deteriorating Patients Through Multidisciplinary Team Training

A Merriel, der Nelson H van, S Merriel, J Bennett, F Donald, T Draycott, D Siassakos

Research output: Contribution to journalArticlepeer-review


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.
Original languageEnglish
Pages (from-to)589-595
Number of pages7
JournalAmerican Journal of Medical Quality
Issue number6
Publication statusPublished - 1 Aug 2015


  • multiprofessional training
  • simulation
  • Early Warning Score
  • teamwork training


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