Trauma Performance Improvement and Patient Safety Committee

Berg, Gina M.; Acuna, David; Lee, Felecia; Clark, Daniel F.; Lippoldt, Diana

doi:10.1097/jtn.0b013e31823a454f

Cited by 7 publications

(3 citation statements)

References 6 publications

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“…27 Our trauma program has incorporated the findings of this study through review of all unplanned ICU readmissions and all incidents of pneumonia. This led to making changes to ICU discharge orders.…”

Section: Resultsmentioning

confidence: 99%

Characteristics and Risk Factors of Trauma Patients Readmitted to the ICU Within the Same Hospitalization

Johns

2014

Journal of Trauma Nursing

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There is little evidence about the characteristics and outcomes of unplanned intensive care unit (ICU) readmission for adult trauma patients. This retrospective study examined the characteristics, risks factors, and outcomes for trauma patients with and without ICU readmission. With 5 years of data, 1117 patients met inclusion criteria for the study. Patient characteristics for readmission included increased age and diabetes, while identified risk factors included increased time between injury and ICU admission, admission from surgery or outside hospital, higher Injury Severity Score, along with glucose, albumin, and lower Glasgow Coma Scale values on the day of ICU discharge.

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Section: Resultsmentioning

confidence: 99%

Characteristics and Risk Factors of Trauma Patients Readmitted to the ICU Within the Same Hospitalization

Johns

2014

Journal of Trauma Nursing

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“…In this environment, the trauma team is required to resuscitate, diagnose and treat critically injured patients [2]. For trauma teams to be effective, multidisciplinary team skills are required [3–5]. However, teamwork does not occur spontaneously; like all other skills, it must be learned.…”

Section: Introductionmentioning

confidence: 99%

Using theories of behaviour change to transition multidisciplinary trauma team training from the training environment to clinical practice

2019

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Background Major trauma patients—such as patients who have experienced road injury, high-impact falls or violence—require complex, intense and rapid resuscitation from a multidisciplinary team of clinicians. These ‘flash teams’ must form quickly and function effectively, often having never met before. There is evidence that multidisciplinary teamwork training improves the performance of the trauma team in simulation. However, the translation of learnt resuscitation teamwork skills from simulation into clinical practice has had modest and variable effects. This paper outlines a method for developing an intervention designed to translate the teaching from a simulated training environment into clinical practice using the theoretical domains framework, behaviour change wheel and behaviour change techniques as the theoretical and empirical basis for the process. Methods The data used to inform the intervention development process were collected during an implementation evaluation study of the trauma team training programme at the busiest level 1 trauma centre in Sydney, Australia. A detailed barrier and enabler assessment were conducted using qualitative and quantitative data. The theoretical domains framework was used to integrate the results. Implementation interventions were selected using the behaviour change wheel. Results Twenty-three facilitators and 19 barriers were identified to influence the implementation of trauma team training in the clinical setting. The facilitators and barriers corresponded to all 14 domains of the theoretical domains framework. Seven intervention functions and four policy categories of the behavioural change wheel were selected to address the target behaviours, and a multimodal relaunch of the revised trauma team training programme was developed. Conclusions This study offers a framework for deductively employing the theoretical domains framework, behaviour change wheel and behaviour change techniques to assess and develop intervention strategies to improve the functioning of trauma resuscitation teams.

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“…We did find one report that described a similar process, but it was limited to interdisciplinary team building as it relates to trauma performance improvement and patient safety. 10 Other reports were limited to non-acute care or academic settings. 11-14 Thus, the purpose of this paper is to describe the design, implementation, and outcomes of a Trauma Interdisciplinary Group for Research (TIGR) at a Level 1 trauma center as it relates to increasing research productivity, with specific examples excerpted from an on-going NIH-funded study.…”

Section: Introductionmentioning

confidence: 99%

“It takes a village” to raise research productivity

NeSmith

Medeiros

Ferdinand

et al. 2013

Journal of Trauma and Acute Care Surgery

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BACKGROUND Few interdisciplinary research groups include basic scientists, pharmacists, therapists, nutritionists, lab technicians, as well as trauma patients and families, in addition to clinicians. Increasing interprofessional diversity within scientific teams working to improve trauma care is a goal of national organizations and federal funding agencies like the National Institutes of Health (NIH). This paper describes the design, implementation, and outcomes of a Trauma Interdisciplinary Group for Research (TIGR) at a Level 1 trauma center as it relates to increasing research productivity, with specific examples excerpted from an on-going NIH-funded study. METHODS We utilized a pre-test/post-test design with objectives aimed at measuring increases in research productivity following a targeted intervention. A SWOT (strengths, weaknesses, opportunities, threats) analysis was used to develop the intervention which included research skill-building activities, accomplished by adding multidisciplinary investigators to an existing NIH-funded project. The NIH project aimed to test the hypothesis that accelerated biologic aging from chronic stress increases baseline inflammation and reduces inflammatory response to trauma (projected N=150). Pre/Post-TIGR data related to participant screening, recruitment, consent, and research processes were compared. Research productivity was measured through abstracts, publications, and investigator-initiated projects. RESULTS Research products increased from N =12 to N=42; (~ 400%). Research proposals for federal funding increased from N=0 to N=3, with success rate of 66%. Participant screenings for the NIH-funded study increased from N=40 to N=313. Consents increased from N=14 to N=70. Lab service fees were reduced from $300/participant to $5/participant. CONCLUSIONS Adding diversity to our scientific team via TIGR was exponentially successful in 1) improving research productivity, 2) reducing research costs, and 3) increasing research products and mentoring activities that the team prior to TIGR had not entertained. The team is now well-positioned to apply for more federally funded projects and more trauma clinicians are considering research careers than before.

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Trauma Performance Improvement and Patient Safety Committee

Cited by 7 publications

References 6 publications

Characteristics and Risk Factors of Trauma Patients Readmitted to the ICU Within the Same Hospitalization

Characteristics and Risk Factors of Trauma Patients Readmitted to the ICU Within the Same Hospitalization

Using theories of behaviour change to transition multidisciplinary trauma team training from the training environment to clinical practice

“It takes a village” to raise research productivity

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