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Table 1 Data extraction grid: calling for assistance and the generation of different types of analytical memos.

From: Clinical decision-making: midwifery students' recognition of, and response to, post partum haemorrhage in the simulation environment

Analytical memo 1) What type of assistance do students seek and at what time? What is the pattern of escalating calls for assistance

 

Buzzer

Specified medical help

MET

1

x

 

✓ 6.11

2

x

Get the Dr 1.59

X

3

x

Get another person 3.25

X

4

✓ 3.22

Get the dr 3.42

✓ 5.57

5

✓ 3.24

 

✓ 8.02

6

✓ 2.44

 

x

7

✓ 5.09

 

CODE 6.34

8

✓5.45

Cal the DR 5.45

x

9

 

Cal the DR 3.41

✓ 6.06

10

  

x

11

  

Code Blue 6.34

12

 

Interacts/instructs DR in room

x

13

✓ 5.13

Dr to get Help & PPH kit 0.57

✓ 6.59

14

 

Report findings to DR 3.50

Code blue 7.23

15

  

✓ 7.05

16

✓ 3.21

 

X

17

✓ 3.25

 

x

18

✓ 4.11

 

✓ 4.55,6.53.7.08

19

✓ 4.10

 

✓ 7.01

20

✓ 4.11

 

✓ 7.22

21

✓ 47 secs check several time on the way?

 

✓ 5.18

22

✓6 44

 

✓ 6.31

23

✓ 5.53

DR Call the Reg

X

24

 

6.42 More help

X

25

✓ 2.15 call help

 

X

26

 

Dr come & check 2.57

X

27

 

Working with jnr DR

X

28

 

Help asked of jnr DR

X

29

✓ 506

Wants help 3.11

X

30

 

Working with jnr DR

X

31

✓ 0.59

 

X

32

✓ 4.52

 

X

33

x

x

X

34

✓ 1.37

 

X

35

✓ 2.07

 

✓ 6.19

  1. Analytical memos
  2. • Align all those who make one call for assistance, against those who escalate calls for assistance (can you see patterns in date of data collection/students' course/campus on which data were collected? (form new comparative grids with these headings)
  3. • Return to individual data: what happens before they call for help how much data have they assimilated before seeking assistance (from whom)?
  4. • What triggers (clinical cues, interactions, activities) precede escalating calls for help
  5. • Have the students labelled the emergency a PPH before they call for help? Does this affect who they call for help?
  6. Field Memo: What is the difference in a Green Code, Code Blue, MET, emergency buzzer in the different clinical placements? Do they all trigger generic emergency response teams or an emergency obstetric team?