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Developing a pediatric trauma system in Tuscany, Italy: a case study in transformative change.

Kevin M Ban¹, Francesco Mannelli, David P Mooney

¹Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA. kban@bidmc.harvard.edu

The Journal of Trauma

|April 5, 2011

Summary

Italy

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Area of Science:

Pediatric trauma care
Healthcare system transformation
Emergency medicine

Background:

Trauma is a leading cause of death and disability in Italian children and adolescents.
Tuscany's fragmented regional pediatric trauma system required modernization.
A partnership with US physicians aimed to create Italy's first pediatric trauma center.

Purpose of the Study:

To establish a pediatric trauma center in Italy.
To transition from a fragmented system to an efficient spoke and hub model.
To implement strategic system changes for improved pediatric trauma care.

Main Methods:

Formed a multidisciplinary task force and conducted a needs assessment.
Developed a strategic timeline with specific project goals.
Implemented an intensive educational program and system changes, including regional diversion protocols.

Main Results:

A full-service pediatric trauma center was established within three years.
The center was integrated into the existing adult trauma system.
Success was driven by administrative support, urgency, and empowering change agents.

Conclusions:

The Anna Meyer Children's Hospital successfully developed Italy's first pediatric trauma center.
A comprehensive approach involving system analysis, education, and organizational changes was key.
This initiative represents a significant advancement in Italian pediatric emergency care.