Trauma center quality improvement programs in the United States, Canada, and Australasia

Annals of Surgery
Henry T StelfoxAndrew W Kirkpatrick

Abstract

To compare quality improvement (QI) programs of trauma centers in 4 high-income countries. Injury is a leading cause of morbidity and mortality in countries around the world, but patient outcomes vary among countries with similar systems of trauma care. We surveyed medical directors and program managers from 330 trauma centers verified by professional trauma organizations in the United States (n = 263), Canada (n = 46), and Australasia (Australia, n = 18; New Zealand, n = 3) regarding their QI programs. Quality indicators were requested from all centers that measured quality of care. Follow-up interviews were performed with 75 centers purposively sampled across 6 baseline criteria. A total of 251 centers (76% response rate) responded to the survey, with a similar distribution across countries. Trauma centers in the United States were more likely than those in Canada and Australasia to report measuring quality indicators (100% vs 94% vs 93%, P = 0.008), using report cards (53% vs 33% vs 31%, P = 0.033) and benchmarking (81% vs 61% vs 69%, P = 0.019). Centers in all 3 regions primarily used hospital process and outcome measures designed to establish whether care was safe (98% vs 97% vs 75%, P = 0.008), effective (97% vs 97% vs 92...Continue Reading

References

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Feb 15, 2011·Critical Care Medicine·Henry T StelfoxBarbara Bobranska-Artiuch

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Citations

Sep 11, 2013·Journal of Clinical Epidemiology·Henry T Stelfox, Sharon E Straus
Sep 25, 2012·Journal of Critical Care·Maria Jose SantanaHenry T Stelfox
Sep 23, 2014·Medicina intensiva·F I Pino SánchezUNKNOWN Trauma and Neurointensive Care Work Group of the SEMICYUC
Jun 21, 2016·Journal of the American College of Surgeons·Derek J RobertsUNKNOWN Indications for Trauma Damage Control Surgery International Study Group
Nov 19, 2015·Journal of the Royal Army Medical Corps·Max Er MarsdenM Midwinter
May 10, 2013·Annals of Surgery·Maria J SantanaUNKNOWN Trauma Quality Indicator Consensus Panel
Dec 11, 2014·The Journal of Trauma and Acute Care Surgery·Anna R GagliardiHenry Thomas Stelfox
Oct 16, 2021·World Journal of Emergency Surgery : WJES·Derek J RobertsHenry T Stelfox

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