A public–private collaborative model for a trauma program implementation: findings from a prospective trauma registry at 14 hospitals in Buenos Aires, Argentina

Monteverde, Ezequiel; Santero, Marilina; Bosque, Laura; Lartigue, Betina; Tenaillon, Carlos; Baliña, Joaquín; Gutierrez, Vicente P.; Neira, Jorge

doi:10.1007/s00068-020-01348-7

Cited by 5 publications

(7 citation statements)

References 16 publications

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“…A questionnaire with trauma registry stewards in LMICs showed a need to "develop skills at political lobbying to induce support from the administration" to provide a platform for long-term aid [33 p.2221]. The lack of common guidelines was highlighted as a barrier [9,24,25,33,38,40]. A study exploring staff trauma experiences in LMICs underlined that organisational diversity across the region led to limited uniform policies which reduced communication among trauma facilities [9].…”

Section: Domain 2: Outer Settingmentioning

confidence: 99%

“…Asia-Paci c trauma leaders proposed establishing standardised minimum data requirements to collect more complete patient information and integrate injury surveillance with data collection [21]. These efforts were hindered by poor data quality across income levels [14,16,19,21,24,33,38]. An Argentinian registry implementation project found a large variation in trauma admission protocols and widespread under-reporting, impacting the quality of clinician records [24].…”

Section: Domain 5: Process Of Implementationmentioning

confidence: 99%

“…These efforts were hindered by poor data quality across income levels [14,16,19,21,24,33,38]. An Argentinian registry implementation project found a large variation in trauma admission protocols and widespread under-reporting, impacting the quality of clinician records [24].…”

Section: Domain 5: Process Of Implementationmentioning

confidence: 99%

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Facilitators and barriers impacting in-hospital Trauma Quality Improvement Program (TQIP) implementation: A scoping review on the implementation of TQIPs across income levels

Kapanadze

Berg

Sun

et al. 2022

Preprint

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Background Trauma describes physical injury along with the bodies associate reponse, and is a leading cause of mortality and morbidity globally, with low and middle income countries (LMICs) disproportionately affected. Understanding the implementation of in-hospital Trauma Quality Improvement Programs (TQIPs) and the factors determining success is critical to reduce the global trauma burden. The purpose of the review was to identify key facilitators and barriers to TQIP implementation across income levels by evaluating the range of literature on the topic. Methods We used information sources PubMed, Web of Science, and Global Index Medicus. The eligibility criteria was English language studies, of any design, published from June 2009 - January 2022. The Preferred Reporting Items of Systematic Reviews and Meta-Analyses checklist extension for scoping reviews were used to carry out a three-stage screening process. Content analysis using the Consolidated Framework for Implementation Research (CFIR) identified facilitator and barrier themes for in-hospital TQIP implementation. Results Twenty-eight studies met the eligibility criteria from 3923 studies. The main facilitators and barriers identified were the need to prioritise staff education and training, strengthen dialogue with stakeholders, and provide standardised best-practice guidelines. Data quality improvements were more apparent in LMICs while high-income countries (HICs) emphasised increased communication training. Conclusions Stakeholder prioritisation of in-hospital TQIPs, along with increased knowledge and consensus on trauma care best practice will further advance efforts to lower the global trauma burden. The focus of future in-hospital TQIPs in LMICs should primarily be concerned with improving data quality of registries, while interventions in HICs should focus on communication skills of healthcare professionals.

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Section: Domain 2: Outer Settingmentioning

confidence: 99%

Section: Domain 5: Process Of Implementationmentioning

confidence: 99%

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Facilitators and barriers impacting in-hospital Trauma Quality Improvement Program (TQIP) implementation: A scoping review on the implementation of TQIPs across income levels

Kapanadze

Berg

Sun

et al. 2022

Preprint

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“…Median time from the first interaction with the course website to a passing grade on the exam was 15 d (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23), with no difference between professions: 15 (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22) for nurses, 14 (11)(12)(13)(14)(15)(16)(17)(18)(19)(20) for physicians, and 15 (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23) for physiotherapists. We did not find any associations between the course duration and the moment when the students started (Figure 2b).…”

Section: Course Metricsmentioning

confidence: 99%

“…And which contents ought to be included in the training? In this scenario, a multi-institutional public-private alliance led by Fundación Trauma (FT) 17 , rapidly developed a nationwide educational intervention program. This manuscript aims to communicate the development, implementation, and results of this initiative.…”

Section: Introductionmentioning

confidence: 99%

Nonintensivist Training to Increase the Staff Capacity of Intensive Care Units During COVID-19 Pandemic Surge in Argentina

Monteverde

Bosque

Klappenbach

et al. 2021

Disaster med. public health prep.

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Objective: To report the results of a nationwide critical-care course for non-intensivists to increase staff capacity of intensive care units (ICU) during the COVID-19 pandemic in Argentina. Methods: Three academic organizations, with special funding from 55 private companies, developed a short virtual course comprised of web-based videos, virtual tutorials, and a forum chat. Each state assigned scholarships to non-ICU staff from public hospitals. Students received active follow-up for the completion of the course and took a survey upon course completion. Results: After four months, there were 10,123 students registered from 661 hospitals in 328 cities. Of these, 67.8% passed the course, 29.1% were still ongoing and 3.1% were inactive. Most students were female (74.2%) with a median of 37 years old (IQR 31-44). The group was composed of 56.5% nurses, 36.2% physicians, and 7.4% physiotherapists, of whom 48.3% did not have any experience in critical care. Mean overall satisfaction was 4.4/5 (SD 0.9), and 90.7% considered they were able to apply the contents to their practice. Conclusions: This course was effective for rapid training of non-ICU personnel. The assignment strategy, the educational techniques, and the close follow-up led to low dropout and high success rates and satisfaction.

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Hip fracture registries in low- and middle-income countries: a scoping review

et al. 2023

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A public–private collaborative model for a trauma program implementation: findings from a prospective trauma registry at 14 hospitals in Buenos Aires, Argentina

Cited by 5 publications

References 16 publications

Facilitators and barriers impacting in-hospital Trauma Quality Improvement Program (TQIP) implementation: A scoping review on the implementation of TQIPs across income levels

Facilitators and barriers impacting in-hospital Trauma Quality Improvement Program (TQIP) implementation: A scoping review on the implementation of TQIPs across income levels

Nonintensivist Training to Increase the Staff Capacity of Intensive Care Units During COVID-19 Pandemic Surge in Argentina

Hip fracture registries in low- and middle-income countries: a scoping review

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