Trauma quality indicators: internationally approved core factors for trauma management quality evaluation
Federico Coccolini, Yoram Kluger, Ernest E Moore, Ronald V Maier, Raul Coimbra, Carlos Ordoñez, Rao Ivatury, Andrew W Kirkpatrick, Walter Biffl, Massimo Sartelli, Andreas Hecker, Luca Ansaloni, Ari Leppaniemi, Viktor Reva, Ian Civil, Felipe Vega, Massimo Chiarugi, Alain Chichom-Mefire, Boris Sakakushev, Andrew Peitzman, Osvaldo Chiara, Fikri Abu-Zidan, Marc Maegele, Mario Miccoli, Mircea Chirica, Vladimir Khokha, Michael Sugrue, Gustavo P 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 Kaf, 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, Ionut Negoi, Kenneth Y Y Kok, Asri Che Jusoh, Bruno Amato, Gabriela Elisa Nita, Andrew de Beaux, Zaza Demetrashvili, R Justin Davies, Jae Il Kim, André Pereira, Luca Fattori, Ciro Paolillo, Wagih Ghannam, Fernando Machado Rodriguez, Luca Berardi, Maria Gioffrè Florio, Matthias Hecker, Vincent Dubuisson, Donal B O'Connor, Nicola De'Angelis, Ivan Dobrić, Damien Massalou, Per Örtenwall, Emmanouil Pikoulis, Bakarne Ugarte-Sierra, W P Zuidema, Aristotelis Kechagias, Sanjay Marwah, Andrey Litvin, Ioannis Nikolopoulos, Antonio Pesce, Selman Uranues, Davide Luppi, Sascha Flohe, Aleix Martínez-Pérez, Manuel Lorenzo, Luigi Branca Vergano, Mario Manca, Paolo Malacarne, Hayato Kurihara, Sandy Widder, Marsia Pucciarelli, Fabio Monzani, Pietro Brambillasca, Davide Corbella, Ferdinando Agresta, Lynne Moore, Luis Antonio Buonomo, Amos O Adeleye, Dennis Kim, Massimiliano Veroux, Timothy Craig Hardcastle, Salomone Di Saverio, Alfonso Recordare, Ines Rubio-Perez, Sergey Shlyapnikov, Razrim Rahim, Gustavo Miguel Machain Vega, Kessel Boris, Robert Sawyer, Oussama Baraket, Kjetil Soreide, Clemens Weber, Chen-June Seak, Simon Herman, Emiliano Gamberini, Silvia Costa, Gualtiero Mazzocconi, Edgard Lozada, Dimitrios Manatakis, Varut Lohsiriwat, Adamu Ahmed, Bahaa Elbery, Guido Alberto Massimo Tiberio, Massimo Santini, Luca Mellace, Cathrine Harstad Enoksen, Piotr Major, Dario Parini, Mario Improta, Paola Fugazzola, Silvia Pini, Gaetano Liberti, Costanza Martino, Lorenzo Cobianchi, Gabriele Canzi, Enrico Cicuttin, Jakub Kenig, Mauro Zago, Sandro Giannessi, Michelangelo Scaglione, Eugenio Orsitto, Roberto Cioni, Lorenzo Ghiadoni, Francesco Menichetti, Vanni Agnoletti, Gabriele Sganga, Paolo Prosperi, Franco Roviello, Paolo De Paolis, Giovanni Gordini, Francesco Forfori, Paolo Ruscelli, Francesco Gabrielli, Adolfo Puglisi, Andrea Bertolucci, Santino Marchi, Massimo Bellini, Sergio Casagli, Belinda De Simone, Fabio Carmassi, Stefano Marchetti, Marco Accorsini, Camilla Cremonini, Federica Morelli, Federico Coccolini, Yoram Kluger, Ernest E Moore, Ronald V Maier, Raul Coimbra, Carlos Ordoñez, Rao Ivatury, Andrew W Kirkpatrick, Walter Biffl, Massimo Sartelli, Andreas Hecker, Luca Ansaloni, Ari Leppaniemi, Viktor Reva, Ian Civil, Felipe Vega, Massimo Chiarugi, Alain Chichom-Mefire, Boris Sakakushev, Andrew Peitzman, Osvaldo Chiara, Fikri Abu-Zidan, Marc Maegele, Mario Miccoli, Mircea Chirica, Vladimir Khokha, Michael Sugrue, Gustavo P 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 Kaf, 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, Ionut Negoi, Kenneth Y Y Kok, Asri Che Jusoh, Bruno Amato, Gabriela Elisa Nita, Andrew de Beaux, Zaza Demetrashvili, R Justin Davies, Jae Il Kim, André Pereira, Luca Fattori, Ciro Paolillo, Wagih Ghannam, Fernando Machado Rodriguez, Luca Berardi, Maria Gioffrè Florio, Matthias Hecker, Vincent Dubuisson, Donal B O'Connor, Nicola De'Angelis, Ivan Dobrić, Damien Massalou, Per Örtenwall, Emmanouil Pikoulis, Bakarne Ugarte-Sierra, W P Zuidema, Aristotelis Kechagias, Sanjay Marwah, Andrey Litvin, Ioannis Nikolopoulos, Antonio Pesce, Selman Uranues, Davide Luppi, Sascha Flohe, Aleix Martínez-Pérez, Manuel Lorenzo, Luigi Branca Vergano, Mario Manca, Paolo Malacarne, Hayato Kurihara, Sandy Widder, Marsia Pucciarelli, Fabio Monzani, Pietro Brambillasca, Davide Corbella, Ferdinando Agresta, Lynne Moore, Luis Antonio Buonomo, Amos O Adeleye, Dennis Kim, Massimiliano Veroux, Timothy Craig Hardcastle, Salomone Di Saverio, Alfonso Recordare, Ines Rubio-Perez, Sergey Shlyapnikov, Razrim Rahim, Gustavo Miguel Machain Vega, Kessel Boris, Robert Sawyer, Oussama Baraket, Kjetil Soreide, Clemens Weber, Chen-June Seak, Simon Herman, Emiliano Gamberini, Silvia Costa, Gualtiero Mazzocconi, Edgard Lozada, Dimitrios Manatakis, Varut Lohsiriwat, Adamu Ahmed, Bahaa Elbery, Guido Alberto Massimo Tiberio, Massimo Santini, Luca Mellace, Cathrine Harstad Enoksen, Piotr Major, Dario Parini, Mario Improta, Paola Fugazzola, Silvia Pini, Gaetano Liberti, Costanza Martino, Lorenzo Cobianchi, Gabriele Canzi, Enrico Cicuttin, Jakub Kenig, Mauro Zago, Sandro Giannessi, Michelangelo Scaglione, Eugenio Orsitto, Roberto Cioni, Lorenzo Ghiadoni, Francesco Menichetti, Vanni Agnoletti, Gabriele Sganga, Paolo Prosperi, Franco Roviello, Paolo De Paolis, Giovanni Gordini, Francesco Forfori, Paolo Ruscelli, Francesco Gabrielli, Adolfo Puglisi, Andrea Bertolucci, Santino Marchi, Massimo Bellini, Sergio Casagli, Belinda De Simone, Fabio Carmassi, Stefano Marchetti, Marco Accorsini, Camilla Cremonini, Federica Morelli
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.
Keywords: Analysis; Data; Morbidity; Mortality; Outcome; Performance; Planning; Product; System; World.
Conflict of interest statement
The authors declare no competing interests.
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References
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Source: PubMed