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J Crit Care. 2012 Dec;27(6):738.e1-7. doi: 10.1016/j.jcrc.2012.07.010. Epub 2012 Sep 19.

A qualitative study to identify opportunities for improving trauma quality improvement.

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1
Department of Community Health Sciences, Faculty of Medicine, University of Calgary, Calgary, Alberta, Canada. mjsantan@ucalgary.ca

Abstract

BACKGROUND:

Quality improvement (QI) is a central tenant of trauma center accreditation in most countries, but its effectiveness is largely unknown. We sought to explore opportunities for improving trauma QI.

METHODS:

We performed a qualitative research study using grounded theory analyses of interviews with medical directors and program managers from 75 verified trauma centers sampled from the United States (n = 51), Canada (n = 14), and Australasia (Australia and New Zealand [n = 10]) to explore experiences with trauma QI activities and identify opportunities for improvement.

RESULTS:

Most trauma centers indicated that they perceived trauma QI to be important and devoted personnel for QI (data entry, data analyst, educator, nurse practitioner). Programs identified 5 principal opportunities to improve trauma QI: (1) ensure resource adequacy (human resources, registry maintenance, financial support, institutional support), (2) encourage stakeholder participation (engagement, communication, coordination), (3) ensure clinical relevance, (4) incorporate evidence-based tools, and (5) require provider and QI program accountability.

CONCLUSIONS:

Quality improvement programs exist as accreditation requirements in most centers. However, trauma QI practices depend on a range of local and regional factors, and concrete opportunities for improvement that address impact and sustainability exist.

PMID:
22999480
DOI:
10.1016/j.jcrc.2012.07.010
[Indexed for MEDLINE]
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