The National Trauma Institute

Price, Michelle; Beilman, Greg J.; Fabian, Timothy C.; Hoyt, David B.; Jurkovich, Gregory J.; Knudson, M. Margaret; MacKenzie, Ellen J.; Marshall, Vivienne S.; Overton, Kimberly E.; Peitzman, Andrew B.; Phillips, Monica; Pruitt, Basil A.; Smith, Sharon L.; Stewart, Ronald M.; Jenkins, Donald H.

doi:10.1097/ta.0000000000001080

Cited by 12 publications

(14 citation statements)

References 31 publications

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“…National Trauma Research Action Plan will serve as the basis for federal advocacy efforts to support future trauma research funding. [42][43][44] AUTHORSHIP J.A.B., M.A.P., and E.M.B. contributed in the study design.…”

Section: Discussionmentioning

confidence: 99%

Developing a National Trauma Research Action Plan: Results from the trauma systems and informatics panel Delphi survey

Haut¹,

Kirby²,

Bailey³

et al. 2023

J Trauma Acute Care Surg

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BACKGROUND:The National Academies of Sciences, Engineering, and Medicine 2016 report on the trauma care system recommended establishing a National Trauma Research Action Plan to strengthen and guide future trauma research. To address this recommendation, the Department of Defense funded a study to generate a comprehensive research agenda spanning the trauma and burn care continuum. Panels were created to conduct a gap analysis and identify high-priority research questions. The National Trauma Research Action Plan panel reported here addressed trauma systems and informatics. METHODS:Experts were recruited to identify current gaps in trauma systems research, generate research questions, and establish the priorities using an iterative Delphi survey approach from November 2019 through August 2020. Panelists were identified to ensure heterogeneity and generalizability, including military and civilian representation. Panelists were encouraged to use a PICO format to generate research questions: patient/population, intervention, compare/control, and outcome. In subsequent surveys, panelists prioritized each research question on a 9-point Likert scale, categorized as low-, medium-, and high-priority items. Consensus was defined as ≥60% agreement. RESULTS:Twenty-seven subject matter experts generated 570 research questions, of which 427 (75%) achieved the consensus threshold. Of the consensus reaching questions, 209 (49%) were rated high priority, 213 (50%) medium priority, and 5 (1%) low priority. Gaps in understanding the broad array of interventions were identified, including those related to health care infrastructure, technology products, education/training, resuscitation, and operative intervention. The prehospital phase of care was highlighted as an area needing focused research. CONCLUSION:This Delphi gap analysis of trauma systems and informatics research identified high-priority research questions that will help guide investigators and funding agencies in setting research priorities to continue to work toward Zero Preventable Deaths after trauma.

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Section: Discussionmentioning

confidence: 99%

Developing a National Trauma Research Action Plan: Results from the trauma systems and informatics panel Delphi survey

Haut¹,

Kirby²,

Bailey³

et al. 2023

J Trauma Acute Care Surg

Self Cite

View full text Add to dashboard Cite

show abstract

“…The research agenda has momentum through the Coalition for National Trauma Research, a national nonprofit organization that addresses the funding shortage and coordination gap in trauma research. 19,20 Much of the funding has come through the Department of Defense, and there remains a need for coordinated support through the National Institutes of Health Institute for Trauma Research. The lack of recognition of traumatic injury as a public health problem continues to impact research funding.…”

Section: Trauma and The Emergency Care Systemmentioning

confidence: 99%

“…It has resulted in projects and created opportunities that will continue to be explored, and some have had momentum during the pandemic. The research agenda has momentum through the Coalition for National Trauma Research, a national nonprofit organization that addresses the funding shortage and coordination gap in trauma research 19,20 . Much of the funding has come through the Department of Defense, and there remains a need for coordinated support through the National Institutes of Health Institute for Trauma Research.…”

Section: Trauma and The Emergency Care Systemmentioning

confidence: 99%

Fifteen years beyond Institute of Medicine and the future of emergency care in the US health system: Illusions, delusions, and situational awareness

Fallat

2021

J Trauma Acute Care Surg

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“…In 2014, the National Trauma Institute, now known as the Coalition for National Trauma Research (CNTR), surveyed 16 federally funded investigators to identify facilitators and barriers to conducting trauma research. 4 Forty percent of the investigators reported challenges in obtaining regulatory approval. Several investigators encountered difficulties navigating the requirements for the Department of Defense (DoD) Human Research Protections Office (HRPO) approval processes.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Regulatory challenges in conducting human subjects research in emergency settings: the National Trauma Research Action Plan (NTRAP) scoping review

Villarreal

Price

Moreno

et al. 2023

Trauma Surg Acute Care Open

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The complexity of the care environment, the emergent nature, and the severity of patient injury make conducting clinical trauma research challenging. These challenges hamper the ability to investigate potentially life-saving research that aims to deliver pharmacotherapeutics, test medical devices, and develop technologies that may improve patient survival and recovery. Regulations intended to protect research subjects impede scientific advancements needed to treat the critically ill and injured and balancing these regulatory priorities is challenging in the acute setting. This scoping review attempted to systematically identify what regulations are challenging in conducting trauma and emergency research. A systematic search of PubMed was performed to identify studies published between 2007 and 2020, from which 289 articles that address regulatory challenges in conducting research in emergency settings were included. Data were extracted and summarized using descriptive statistics and a narrative synthesis of the results. The review is reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. Most articles identified were editorial/commentary (31%) and published in the USA (49%). Regulatory factors addressed in the papers were categorized under 15 regulatory challenge areas: informed consent (78%), research ethics (65%), institutional review board (55%), human subjects protection (54%), enrollment (53%), exception from informed consent (51%), legally authorized representative (50%), patient safety (41%), community consultation (40%), waiver of informed consent (40%), recruitment challenges (39%), patient perception (30%), liability (15%), participant incentives (13%), and common rule (11%). We identified several regulatory barriers to conducting trauma and emergency research. This summary will support the development of best practices for investigators and funding agencies.

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The National Trauma Institute

Cited by 12 publications

References 31 publications

Developing a National Trauma Research Action Plan: Results from the trauma systems and informatics panel Delphi survey

Developing a National Trauma Research Action Plan: Results from the trauma systems and informatics panel Delphi survey

Fifteen years beyond Institute of Medicine and the future of emergency care in the US health system: Illusions, delusions, and situational awareness

Regulatory challenges in conducting human subjects research in emergency settings: the National Trauma Research Action Plan (NTRAP) scoping review

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