Work Packages
There are four work packages in PRiSMM:
1. Conceptualisation and scientific support for the development of the complex intervention
The aim of this work package will be to:-
- systematically review the evidence to inform selection of care bundle elements;
- engage with key professional and lay stakeholders and identify key system barriers to care bundle implementation;
- statistical analysis of existing data to support the development of the venous thromboembolism (VTE) risk tool;
- development of theory of change and logic model for the care bundle.
2. Establishing the PRiSMM data platform
The aim of this work package is to create a unified, comprehensive, population-based, England-wide dataset, with a single point of access within the NHS data storage and access platform (Secure Data Environments/SDE) infrastructure to enable evaluation of the Maternal Care Bundle and subsequent iteration (the PRiSMM data platform).
SDEs provide access to patient-level NHS data within the highest standards of data security and privacy.
3. Analysis of the Maternal Care Bundle at 'champion sites'
The aim of this work package will be to evaluate the introduction of the Maternal Care Bundle at five 'champion' sites by assessing: -
- the processes of implementation and adoption;
- the feasibility and acceptability of the intervention to women and the staff asked to implement it;
- the reach and fidelity of the intervention.
4. Evaluation of clinical and cost effectiveness of Maternal Care Bundle
The aim of this work package will be: -
- to assess the association between receipt of the Maternal Care Bundle intervention (and its elements) and adverse outcomes, to quantify clinical effectiveness;
- to establish whether the benefits are equitable across all ethnic and socioeconomic groups;
- to identify unintended consequences related to clinical patient outcomes;
- to assess whether the Maternal Care Bundle is cost-effective when compared to no care bundle;
- to assess the implementation of the Maternal Care Bundle.