A quality-improvement approach to effective trauma team activation

Canadian Journal of Surgery. Journal Canadien De Chirurgie
Kevin VerhoeffSandy Widder

Abstract

Appropriate, timely trauma team activation (TTA) can directly affect outcomes for patients with trauma. A review of quality-performance indicators at our Canadian level 1 trauma centre showed a high level of undertriage, with TTA compliance rates less than 60% for major trauma. A quality-improvement project was undertaken, targeting a sustained goal of at least 90% TTA compliance based on Accreditation Canada guidelines. Quality-improvement action followed a well-defined process. Baseline data collection was performed, and, in keeping with the Donabedian approach, we brought together stakeholders to collectively review and understand the reasons behind poor TTA compliance; and root-cause analysis. This was followed by rapid change cycles that focused on structure and processes with ongoing audits to support and sustain change. Trauma team activation compliance improved from 58.8% to more than 90% over 2 years. Quality indicators showed a statistically significant reduction in the time to computed tomography scanner, time in the acute care region of the emergency department and total time in the emergency department, with improved TTA compliance. Compliance with TTA protocols improved to more than 90% over a 2-year period, which...Continue Reading

Citations

Dec 28, 2019·Journal of Family Medicine and Primary Care·Parvin Kashani, Amin Saberinia
Mar 10, 2021·Scientific Reports·Raimundas Lunevicius, Mina Mesri

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