Implementation of a checklist to improve pediatric trauma assessment quality in a Brazilian hospital

Botelho, Fábio; Truché, Paul; Caddell, Luke; Abib, Simone de Campos Vieira; Bowder, Alexis N.; Faria, Isabella Diniz; Zimmerman, Kathrin; Alonso, Nivaldo; Caux, Mariana de; Bentes, Aline Almeida; Buda, Alexandra; Roa, Lina; Mooney, David P.

doi:10.1007/s00383-021-04941-y

Cited by 6 publications

(4 citation statements)

References 24 publications

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“…Levando em consideração a escassez de artigos voltados para mapeamento exclusivo da região Norte do Brasil, o presente artigo alerta para a necessidade de medidas que visem a indicação de fatores relacionamentos aos atendimento pediátricos. Para tanto, corrobora com Botelho et al (2021) nos apontamentos para a necessidade de melhorar a qualidade do atendimento em nosso meio da organização do sistema de trauma pediátrico por meio de triagem aprimorada; da identificação de líderes de trauma pediátrico; e, por fim, do treinamento de provedores voltados para o atendimento de trauma pediátrico.…”

Section: Resultsunclassified

“…Seguindo a premissa epidemiológica, o trauma também tem causado impacto no cenário brasileiro (LOFFREDO et al, 2012). Como enfatizado por Botelho et al (2021), a medição da qualidade do atendimento e as intervenções são pontos chave na otimização do atendimento. Os autores avaliaram a adesão ao atendimento padronizado ao trauma após a introdução de uma lista de verificação em um dos centros de trauma mais movimentados da América Latina.…”

Section: Introductionunclassified

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Urgências E Emergências Em Pacientes Pediátricos Na Região Norte Do Brasil: Um Pequeno Recorte

LIMA¹,

MARTINS²,

DOREA³

et al. 2023

Teoria E Prática Trauma E Emergência - Edição VIII

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Section: Resultsunclassified

Section: Introductionunclassified

Urgências E Emergências Em Pacientes Pediátricos Na Região Norte Do Brasil: Um Pequeno Recorte

LIMA¹,

MARTINS²,

DOREA³

et al. 2023

Teoria E Prática Trauma E Emergência - Edição VIII

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“…Although ATLS training is a foundational trauma education course widely available globally, its impact on reducing the burden of childhood injury deaths in LMICs has not been established. In addition, more than 80% of ATLS‐trained healthcare providers in a Brazilian trauma center requested further targeted education in pediatric trauma [4, 26]. Our research group has also demonstrated poor adherence to ATLS protocols among trauma surgeons when assessing pediatric cases in the setting of an LMIC [4, 26].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, more than 80% of ATLS‐trained healthcare providers in a Brazilian trauma center requested further targeted education in pediatric trauma [4, 26]. Our research group has also demonstrated poor adherence to ATLS protocols among trauma surgeons when assessing pediatric cases in the setting of an LMIC [4, 26]. Simple clinical interventions such as a checklist were unfortunately shown to be ineffective in the absence of meaningful change in the institutional education program [2, 4, 26].…”

Section: Discussionmentioning

confidence: 99%

Teaching Trauma in Resource‐Limited Settings: A Scoping Review of Pediatric Trauma Courses

et al. 2022

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Purpose Injury remains an important cause of death and disability globally, with 95% of all childhood injury deaths occurring in low-and lower-middle-income countries (LMICs). Pediatric trauma training, tailored to the resources in LMICs, represents an opportunity to improve such outcomes. We explored the nature of course offerings in pediatric trauma in resource-limited settings. Methods Seven databases were interrogated up to June 12, 2020, to retrieve articles examining pediatric trauma training in LMICs, as defined by the World Bank, without language restrictions. Independent authors reviewed and selected abstracts based on set criteria. Data from included studies was extracted and analyzed. An adapted Critical Appraisal Skills Programme checklist designed for cohort studies was used to assess the risk of bias. Results After screening 3960 articles for eligibility, 16 were included for final analysis. Course delivery methods included didactic modules, simulations, clinical mentorship, small group discussion, audits, assessments, and feedback. Knowledge acquisition was primarily assessed through pre/post-tests, clinical skills assessments, and selfassessment questionnaires. Twelve studies detailed course content, nine of which were based on the WHO Emergency Triage, Assessment and Treatment model, which is not specific to trauma. The other three studies involved locally developed pediatric trauma-focused training courses, including airway management, head trauma and cervical spine management, thoracic and abdominal trauma, orthopedic trauma, burn and wound management, and shock. Conclusion Despite being essential to decreasing pediatric trauma morbidity and mortality worldwide, educational programs in pediatric trauma are not a widespread reality in low-and-middle-income countries. The development of accessible and efficient pediatric trauma education programs is critical for improving pediatric trauma quality of care.

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Improving Pediatric Trauma Education by Teaching Non-technical Skills: A Randomized Controlled Trial

Botelho,

Gerk,

Harley

et al. 2024

Journal of Pediatric Surgery

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Implementation of a checklist to improve pediatric trauma assessment quality in a Brazilian hospital

Cited by 6 publications

References 24 publications

Urgências E Emergências Em Pacientes Pediátricos Na Região Norte Do Brasil: Um Pequeno Recorte

Urgências E Emergências Em Pacientes Pediátricos Na Região Norte Do Brasil: Um Pequeno Recorte

Teaching Trauma in Resource‐Limited Settings: A Scoping Review of Pediatric Trauma Courses

Improving Pediatric Trauma Education by Teaching Non-technical Skills: A Randomized Controlled Trial

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