Trauma Quality Improvement

Background

Trauma quality improvement (TQI) programs, a feature of most trauma hospitals in high income countries, are an affordable and sustainable means for hospitals to monitor their trauma care services, detect problems in care and effectively execute and evaluate corrective measures targeted at these problems. In so doing, many deaths from injury can be avoided.

A key component of all TQIPs is the TQI meeting (TQIM). TQIMs are a means to strengthen trauma QI and have the goal of identifying and correcting problems. In low and middle-income countries where TQIPs are usually absent, the potential for saving lives is huge. In Thailand, regular TQI meetings and preventable death reviews were associated with a one-third reduction in preventable death rate within two years. This positive result illustrates the need for the introduction of TQIPs at a global level.

Key Objectives & Outcomes

Under the Australia-India Trauma Systems Collaboration (AITSC), a prospective observational study will evaluate the impact of introducing a structured TQI meeting on the processes and outcomes in four Indian trauma centres in Delhi (two sites), Mumbai and Ahmedabad. It will include training for clinicians and administrators in the purpose and conduct of TQIMs through courses developed by the World Health Organisation (WHO).

Reducing the Burden of Injury

We work with governments, industry, clinicians and researchers to improve information and resources, and to pilot new systems of care.

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