Development of the major trauma case review tool

Kate Curtis, Rebecca Mitchell, Henry T. Stelfox, Amy McCarthy, Kellie Wilson, Connie Van, Belinda Kennedy, Gary Tall, Andrew Holland, Kim Foster, Stuart Dickinson

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background: As many as half of all patients with major traumatic injuries do not receive the recommended care, with variance in preventable mortality reported across the globe. This variance highlights the need for a comprehensive process for monitoring and reviewing patient care, central to which is a consistent peer-review process that includes trauma system safety and human factors. There is no published, evidence-informed standardised tool that considers these factors for use in adult or paediatric trauma case peer-review. The aim of this research was to develop and validate a trauma case review tool to facilitate clinical review of paediatric trauma patient care in extracting information to facilitate monitoring, inform change and enable loop closure. Methods: Development of the trauma case review tool was multi-faceted, beginning with a review of the trauma audit tool literature. Data were extracted from the literature to inform iterative tool development using a consensus approach. Inter-rater agreement was assessed for both the pilot and finalised versions of the tool. Results: The final trauma case review tool contained ten sections, including patient factors (such as pre-existing conditions), presenting problem, a timeline of events, factors contributing to the care delivery problem (including equipment, work environment, staff action, organizational factors), positive aspects of care and the outcome of panel discussion. After refinement, the inter-rater reliability of the human factors and outcome components of the tool improved with an average 86% agreement between raters. Discussion: This research developed an evidence-informed tool for use in paediatric trauma case review that considers both system safety and human factors to facilitate clinical review of trauma patient care. Conclusions: This tool can be used to identify opportunities for improvement in trauma care and guide quality assurance activities. Validation is required in the adult population.
LanguageEnglish
Article number20
Pages20-1-20-8
Number of pages8
JournalScandinavian journal of trauma, resuscitation and emergency medicine
Volume25
Issue number1
DOIs
Publication statusPublished - 2017

Fingerprint

Wounds and Injuries
Patient Care
Peer Review
Pediatrics
Safety
Preexisting Condition Coverage
Quality of Health Care
Research
Consensus
Equipment and Supplies
Mortality
Population

Bibliographical note

Copyright the Author(s) 2017. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • injury
  • quality
  • safety
  • peer review
  • adverse event
  • mortality
  • morbidity
  • human factors
  • organizational factors
  • emergency
  • Injury
  • Mortality
  • Human factors
  • Adverse event
  • Morbidity
  • Quality
  • Emergency
  • Peer review
  • Safety
  • Organizational factors

Cite this

Curtis, K., Mitchell, R., Stelfox, H. T., McCarthy, A., Wilson, K., Van, C., ... Dickinson, S. (2017). Development of the major trauma case review tool. Scandinavian journal of trauma, resuscitation and emergency medicine, 25(1), 20-1-20-8. [20]. https://doi.org/10.1186/s13049-017-0353-5
Curtis, Kate ; Mitchell, Rebecca ; Stelfox, Henry T. ; McCarthy, Amy ; Wilson, Kellie ; Van, Connie ; Kennedy, Belinda ; Tall, Gary ; Holland, Andrew ; Foster, Kim ; Dickinson, Stuart. / Development of the major trauma case review tool. In: Scandinavian journal of trauma, resuscitation and emergency medicine. 2017 ; Vol. 25, No. 1. pp. 20-1-20-8.
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Curtis, K, Mitchell, R, Stelfox, HT, McCarthy, A, Wilson, K, Van, C, Kennedy, B, Tall, G, Holland, A, Foster, K & Dickinson, S 2017, 'Development of the major trauma case review tool', Scandinavian journal of trauma, resuscitation and emergency medicine, vol. 25, no. 1, 20, pp. 20-1-20-8. https://doi.org/10.1186/s13049-017-0353-5

Development of the major trauma case review tool. / Curtis, Kate; Mitchell, Rebecca; Stelfox, Henry T.; McCarthy, Amy; Wilson, Kellie; Van, Connie; Kennedy, Belinda; Tall, Gary; Holland, Andrew; Foster, Kim; Dickinson, Stuart.

In: Scandinavian journal of trauma, resuscitation and emergency medicine, Vol. 25, No. 1, 20, 2017, p. 20-1-20-8.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - Development of the major trauma case review tool

AU - Curtis, Kate

AU - Mitchell, Rebecca

AU - Stelfox, Henry T.

AU - McCarthy, Amy

AU - Wilson, Kellie

AU - Van, Connie

AU - Kennedy, Belinda

AU - Tall, Gary

AU - Holland, Andrew

AU - Foster, Kim

AU - Dickinson, Stuart

N1 - Copyright the Author(s) 2017. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

PY - 2017

Y1 - 2017

N2 - Background: As many as half of all patients with major traumatic injuries do not receive the recommended care, with variance in preventable mortality reported across the globe. This variance highlights the need for a comprehensive process for monitoring and reviewing patient care, central to which is a consistent peer-review process that includes trauma system safety and human factors. There is no published, evidence-informed standardised tool that considers these factors for use in adult or paediatric trauma case peer-review. The aim of this research was to develop and validate a trauma case review tool to facilitate clinical review of paediatric trauma patient care in extracting information to facilitate monitoring, inform change and enable loop closure. Methods: Development of the trauma case review tool was multi-faceted, beginning with a review of the trauma audit tool literature. Data were extracted from the literature to inform iterative tool development using a consensus approach. Inter-rater agreement was assessed for both the pilot and finalised versions of the tool. Results: The final trauma case review tool contained ten sections, including patient factors (such as pre-existing conditions), presenting problem, a timeline of events, factors contributing to the care delivery problem (including equipment, work environment, staff action, organizational factors), positive aspects of care and the outcome of panel discussion. After refinement, the inter-rater reliability of the human factors and outcome components of the tool improved with an average 86% agreement between raters. Discussion: This research developed an evidence-informed tool for use in paediatric trauma case review that considers both system safety and human factors to facilitate clinical review of trauma patient care. Conclusions: This tool can be used to identify opportunities for improvement in trauma care and guide quality assurance activities. Validation is required in the adult population.

AB - Background: As many as half of all patients with major traumatic injuries do not receive the recommended care, with variance in preventable mortality reported across the globe. This variance highlights the need for a comprehensive process for monitoring and reviewing patient care, central to which is a consistent peer-review process that includes trauma system safety and human factors. There is no published, evidence-informed standardised tool that considers these factors for use in adult or paediatric trauma case peer-review. The aim of this research was to develop and validate a trauma case review tool to facilitate clinical review of paediatric trauma patient care in extracting information to facilitate monitoring, inform change and enable loop closure. Methods: Development of the trauma case review tool was multi-faceted, beginning with a review of the trauma audit tool literature. Data were extracted from the literature to inform iterative tool development using a consensus approach. Inter-rater agreement was assessed for both the pilot and finalised versions of the tool. Results: The final trauma case review tool contained ten sections, including patient factors (such as pre-existing conditions), presenting problem, a timeline of events, factors contributing to the care delivery problem (including equipment, work environment, staff action, organizational factors), positive aspects of care and the outcome of panel discussion. After refinement, the inter-rater reliability of the human factors and outcome components of the tool improved with an average 86% agreement between raters. Discussion: This research developed an evidence-informed tool for use in paediatric trauma case review that considers both system safety and human factors to facilitate clinical review of trauma patient care. Conclusions: This tool can be used to identify opportunities for improvement in trauma care and guide quality assurance activities. Validation is required in the adult population.

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KW - Mortality

KW - Human factors

KW - Adverse event

KW - Morbidity

KW - Quality

KW - Emergency

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KW - Safety

KW - Organizational factors

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JO - Scandinavian journal of trauma, resuscitation and emergency medicine

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