Federico Coccolini1, Yoram Kluger2, Ernest E Moore3, Ronald V Maier4, Raul Coimbra5, Carlos Ordoñez6, Rao Ivatury7, Andrew W Kirkpatrick8, Walter Biffl9, Massimo Sartelli10, Andreas Hecker11, Luca Ansaloni12, Ari Leppaniemi13, Viktor Reva14, Ian Civil15, Felipe Vega16, Massimo Chiarugi17, Alain Chichom-Mefire18,19, Boris Sakakushev20, Andrew Peitzman21, Osvaldo Chiara22, Fikri Abu-Zidan23, Marc Maegele24, Mario Miccoli25, Mircea Chirica26, Vladimir Khokha27, Michael Sugrue28, Gustavo P Fraga29, Yasuhiro Otomo30, Gian Luca Baiocchi31, Fausto Catena32. 1. General Emergency and Trauma Surgery Department, Pisa University Hospital, Via Paradisa, 2, 56124, Pisa, Italy. federico.coccolini@gmail.com. 2. Division of General Surgery, Rambam Health Care Campus, Haifa, Israel. 3. Ernest E Moore Shock Trauma Center, Denver Health, Denver, CO, USA. 4. Department of Surgery, Harborview Medical Center, University of Washington, Seattle, WA, USA. 5. Riverside University Health System, Riverside, CA, USA. 6. Division of Trauma and Acute Care Surgery, Fundación Valle del Lili, Cali, Colombia. 7. VCU Medical Center, Richmond, VA, USA. 8. General, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery, Foothills Medical Centre, Calgary, Canada. 9. Department of Trauma and Acute Care Surgery, Scripps Memorial Hospital La Jolla, La Jolla, San Diego, CA, USA. 10. General and Emergency Surgery, Macerata Hospital, Macerata, Italy. 11. Department of General and Thoracic Surgery, University Hospital of Giessen, Giessen, Germany. 12. General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena, Italy. 13. Abdominal Center, Helsinki University Hospital, Helsinki, Finland. 14. Department of War Surgery, Kirov Military Medical Academy, Saint-Petersburg, Russia. 15. General and Emergency Surgery Dept., Auckland City Hospital, Auckland, New Zealand. 16. Department of Surgery, Hospital Angeles Lomas, Mexico City, Mexico. 17. General Emergency and Trauma Surgery Department, Pisa University Hospital, Via Paradisa, 2, 56124, Pisa, Italy. 18. Faculty of Health Sciences, University of Buea, Buea, Cameroon. 19. Douala Gynaeco-Obstetric and Pediatric Hospital, Douala, Cameroon. 20. General Surgery Department, University Hospital St George, Plovdiv, Bulgaria. 21. Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, USA. 22. Trauma Team and General Surgery, ASST Niguarda, Milan, Italy. 23. Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates. 24. Department of Trauma and Orthopedic Surgery, Cologne-Merheim Medical Center (CMMC), University Witten/Herdecke (UW/H), Cologne, Germany. 25. Statistic Dept., Pisa University, Pisa, Italy. 26. Centre Hospitalier Universitaire Grenoble Alpes, Grenoble, France. 27. Department of Emergency Surgery, City Hospital, Mozyr, Belarus. 28. General Surgery Dept., Letterkenny Hospital, Letterkenny, Ireland. 29. Division of Trauma Surgery, School of Medical Sciences, University of Campinas, Campinas, Brazil. 30. Trauma and Acute Critical Care Center, Tokyo Medical and Dental University Hospital, Tokyo, Japan. 31. General Surgery, Brescia University Hospital, Brescia, Italy. 32. Emergency and Trauma Surgery, Parma University Hospital, Parma, Italy.
Abstract
INTRODUCTION: Quality in medical care must be measured in order to be improved. Trauma management is part of health care, and by definition, it must be checked constantly. The only way to measure quality and outcomes is to systematically accrue data and analyze them. MATERIAL AND METHODS: A systematic revision of the literature about quality indicators in trauma associated to an international consensus conference RESULTS: An internationally approved base core set of 82 trauma quality indicators was obtained: Indicators were divided into 6 fields: prevention, structure, process, outcome, post-traumatic management, and society integrational effects. CONCLUSION: Present trauma quality indicator core set represents the result of an international effort aiming to provide a useful tool in quality evaluation and improvement. Further improvement may only be possible through international trauma registry development. This will allow for huge international data accrual permitting to evaluate results and compare outcomes.
INTRODUCTION: Quality in medical care must be measured in order to be improved. Trauma management is part of health care, and by definition, it must be checked constantly. The only way to measure quality and outcomes is to systematically accrue data and analyze them. MATERIAL AND METHODS: A systematic revision of the literature about quality indicators in trauma associated to an international consensus conference RESULTS: An internationally approved base core set of 82 trauma quality indicators was obtained: Indicators were divided into 6 fields: prevention, structure, process, outcome, post-traumatic management, and society integrational effects. CONCLUSION: Present trauma quality indicator core set represents the result of an international effort aiming to provide a useful tool in quality evaluation and improvement. Further improvement may only be possible through international trauma registry development. This will allow for huge international data accrual permitting to evaluate results and compare outcomes.
Authors: Christopher Patrick Bretherton; Henry A Claireaux; Jonathan Gower; Shan Martin; Angela Thornhill; Louise Johnson; Lucy Silvester; Rebecca Samantha Kearney; Mark Baxter; Paul Dixon; Victoria Giblin; Xavier Luke Griffin; William Eardley Journal: BMJ Open Date: 2021-11-30 Impact factor: 2.692