[Healthcare quality assessment for children with severe injury in the Rostov region]

Area of Science:

• Pediatric critical care
• Trauma management systems
• Healthcare quality improvement

Background:

• Severe injuries pose significant challenges to pediatric healthcare systems.
• Effective quality control is essential for optimizing treatment outcomes in critically ill children.
• Existing regional healthcare structures require specific mechanisms for monitoring pediatric trauma care.

Purpose of the Study:

• To develop and implement a two-level medical care quality control system for children with severe injuries.
• To integrate this system within the existing regional Ministry of Health framework.
• To enhance the monitoring and analysis of pediatric trauma care delivery.

Main Methods:

• Level 1: Real-time monitoring of pediatric intensive care unit (ICU) admissions and ambulance dispatches to healthcare facilities (HCFs).
• Level 2: Stepwise control involving monthly reporting of mortality data for children under 18 by HCFs.
• Level 2 also includes annual reports from regional anesthetists-resuscitators analyzing treatment results for severe pediatric injuries.

Main Results:

• The developed two-level system effectively functions within the established regional healthcare quality control structure.
• Continuous monitoring of ICU admissions and ambulance services provides immediate oversight.
• Systematic monthly and annual reporting facilitates comprehensive analysis of pediatric trauma care effectiveness and outcomes.

Conclusions:

• The implemented two-level quality control system provides a robust framework for managing and improving medical care for severely injured children.
• This system enhances data collection and analysis, enabling targeted interventions for better pediatric trauma outcomes.
• The approach is adaptable to existing regional health department guidelines for departmental control.