Trauma quality indicators: internationally approved core factors for trauma management quality evaluation
Federico Coccolini, Yoram Kluger, Ernest E. Moore, Ronald V. Maier, Raúl Coimbra, Carlos A. Ordóñez, Rao R. Ivatury, Andrew W. Kirkpatrick, Walter Biffl, Massimo Sartelli, Andreas Hecker, Luca Ansaloni, Ari Leppäniemi, Viktor Reva, Ian Civil, Felipe Vega, Massimo Chiarugi, Alain Chichom‐Mefire, Boris Sakakushev, Andrew Peitzman, Osvaldo Chiara, Fikri M. Abu‐Zidan, Marc Maegele, Mario Miccoli, Mircéa Chirica, Vladimir Khokha, Michael Sugrue, Gustavo Pereira Fraga, Yasuhiro Otomo, Gian Luca Baiocchi, Fausto Catena, the WSES Trauma Quality Indicators Expert Panel, Zygimantas Kuliesius, Luigi Conti, Agron Dogjani, Jae Gil Lee, Heitor Consani, Domenico Russello, Marina Bortul, Teresa Gimenez Maurel, Hossein Samadi Kafil, Harissou Adamou, Vasilescu Alin, Umberto Robustelli, Norio Sato, Charalampos Seretis, Martha Quiodettis, Carlos Augusto Gomes, Victor Kong, Andee Dzulkarnaen Zakaria, Ali Guner, Mahir Gachabayov, Sharfuddin Chowdhury, Francesco Pata, Alberto Garcia, Miran Rems, Koray Das, J. G. Riedel, Konstantinos Lasithiotakis, Ruslan Sydorchuk, Larysa Sydorchuk, Eftychios Lostoridis, Alexander Buia, Michael McFarlane, Renzo Ciani, Virginia María Durán Muñoz-Cruzado, Dario Tartaglia, Orestis Ioannidis, Måns Muhrbeck, Martin Reicher, Francesco Roscio, Marco Ceresoli, Dimitrios Tsiftsis, Alfie Kavalakat, Tadeja Pintar, George Georgiou, Gabriele Ricci, Rajashekar Mohan, Sten Saar, Isidoro Di Carlo, Arda Isik, Ali Yasen Yasen Mohamed Ahmed, Ricardo Alessandro Teixeira Gonsaga, Fabrizio Sammartano, Luis Tallon-Aguilar, Tomohisa Shoko, Jeremy Hsu, Yoshiro Kobe, Christian Galatioto Luigi Romeo, Mauro Podda, Andrea Mingoli, Rafael Castro Delgado, Gerald Ekwen, Vanlander Aude, Carles Olona, Paolo Boati, Stefano Magnone, Massimo Capaldi, Miklosh Bala, Edoardo Picetti
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.