What happens in the shock room stays in the shock room? A time-based audio/video audit framework for trauma team performance analysis

被引：13

作者：

Aukstakalnis, Vytautas ^{[1
]}

Dambrauskas, Zilvinas ^{[2
]}

Stasaitis, Kestutis ^{[1
]}

Darginavicius, Linas ^{[3
]}

Dobozinskas, Paulius ^{[3
]}

Jasinskas, Nedas ^{[3
]}

Vaitkaitis, Dinas ^{[3
]}

机构：

[1] Lithuanian Univ Hlth Sci, Dept Emergency Med, Kaunas, Lithuania

[2] Lithuanian Univ Hlth Sci, Dept Surg, Kaunas, Lithuania

[3] Lithuanian Univ Hlth Sci, Dept Disaster Med, Kaunas, Lithuania

来源：

EUROPEAN JOURNAL OF EMERGENCY MEDICINE | 2020年 / 27卷 / 02期

关键词：

emergency medicine; medical education; quality improvement; trauma management; MORTALITY; ERRORS;

D O I：

10.1097/MEJ.0000000000000627

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Introduction A precise tool for analysis of trauma team performance is missing. Objectives To create a framework for trauma team performance analysis and feedback. Methods An observational study in a level I trauma centre in Lithuania was performed from January 1 2017 to August 31 2017. Audio/video review process was used to evaluate technical and nontechnical performance of the trauma team. Results In total, 143 trauma team activations were analysed. The mean rate of completion for the primary survey based on Advanced Trauma Life Support principles was 68.5%. Technical steps of patient resuscitation were measured in seconds during first hour of the treatment. The T-NOTECHS scale mean score was 11.99 (SD 2.9). Conclusion During the study period, we were able to measure the time needed for certain steps in trauma patient evaluation and management. Based on this analysis, a performance improvement program will be devised, including the HybridLab medical simulation, audio/video debriefing, and individualised feedback sessions.

引用

页码：121 / 124

页数：4

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