NQMC Update Service: August 31, 2015 ► Quality of Trauma in Adult Care (QTAC) Team, University of Calgary

NQMC Update Service: August 31, 2015

Quality of Trauma in Adult Care (QTAC) Team, University of Calgary

• Adult trauma care: does the hospital have a protocol to guide management of inured patients age 18 years and older requiring massive transfusions?

• Adult trauma care: does the hospital have regular, structured and multidisciplinary peer review of the quality of care provided to injured patients age 18 years and older that includes review of adverse events and deaths AND reporting of resultant quality improvement actions?

• Adult trauma care: percentage of discharges of patients age 18 years and older with a primary injury diagnosis and one of the following secondary diagnoses: decubitus ulcer, hospital acquired infection, iatrogenic pneumothorax, foreign body left during procedure, myocardial infarction, acute renal failure.

• Adult trauma care: percentage of ED patients age 18 years and older with blunt force injuries and trauma team activation (TTA) or ED documented GCS less than 9 and CT scan performed within 1 hour of ED arrival.

• Adult trauma care: percentage of injured patients age 18 years and older admitted to the ED who satisfy local trauma team activation (TTA) guidelines and for whom there is a TTA.

• Adult trauma care: percentage of injured patients age 18 years and older prescribed a massive transfusion and with massive transfusion protocol activation.

• Adult trauma care: percentage of injured patients age 18 years and older with documented decreased level of consciousness (GCS less than 9) in the ED and with successful insertion of endotracheal tube in the ED.

• Adult trauma care: percentage of injured patients age 18 years and older with physiological compromise and admission to the ED shock room in 10 minutes or less of ED arrival.

• Adult trauma care: percentage of patients age 18 years and older admitted to hospital with a diagnosis of an open fracture and administered guideline recommended intravenous antimicrobial agent within 1 hour of hospital arrival.

• Adult trauma care: percentage of patients age 18 years and older admitted to hospital with a major anatomic injury diagnosis under the care of a non-trauma/surgical service.

• Adult trauma care: percentage of patients age 18 years and older admitted to hospital with an injury diagnosis and a tertiary survey documented in the medical record within 24 hours of hospital admission.

• Adult trauma care: percentage of patients age 18 years and older admitted to hospital with an injury diagnosis and DVT prophylaxis prescribed within 24 hours of hospital admission.

• Adult trauma care: percentage of patients age 18 years and older admitted to hospital with an injury diagnosis from a blunt force mechanism and documented assessment of the cervical, thoracic and lumbar spine and decision to continue or discontinue spine immobilization within 36 hours of admission to hospital.

• Adult trauma care: percentage of patients age 18 years and older admitted to hospital with an injury diagnosis who die.

• Adult trauma care: percentage of patients age 18 years and older with a primary injury diagnosis admitted to ICU from the ward.

• Adult trauma care: percentage of patients age 18 years and older with an injury diagnosis and prescribed a massive transfusion who receive attempted definitive bleeding control within 30 minutes of the massive transfusion prescription.