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Implementing Major Trauma Audit in Ireland.

Conor Deasy1, Marina Cronin2, Fiona Cahill2

  • 1Clinical Lead, Major Trauma Audit, National Office of Clinical Audit, Emergency Medicine, Cork University Hospital, Wilton, Cork, Ireland.

Injury
|August 29, 2015
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Summary
This summary is machine-generated.

Major Trauma Audit (MTA) implementation in Ireland is enhancing trauma care quality. This audit system, adapted from the UK

Keywords:
AuditInjuryIrelandMajor traumaPatient SafetyQualityRegisterRegistryTrauma

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Area of Science:

  • Healthcare Quality Improvement
  • Trauma Care Systems
  • Clinical Audit

Background:

  • Ireland lacked a system to monitor trauma care processes and outcomes.
  • The National Office of Clinical Audit (NOCA) is implementing Major Trauma Audit (MTA).
  • MTA utilizes the established UK National Health Service (NHS) Trauma Audit and Research Network (TARN).

Purpose of the Study:

  • To document the implementation process of MTA in Ireland.
  • To raise national awareness of MTA.
  • To share lessons for other health systems developing MTA.

Main Methods:

  • Adaptation of the UK TARN system for Ireland, advised by the National Trauma Audit Committee.
  • Endorsement by the Emergency Medicine Program in 2012, with MTA as the first audit project.
  • Establishment of a major trauma governance group, recruitment of a national project co-ordinator, and nomination of clinical leads.

Main Results:

  • 25 out of 27 trauma-receiving hospitals are actively collecting data via the TARN platform.
  • Hospitals have appointed MTA Clinical Leads and data co-ordinators.
  • MTA reports are integrated into hospital clinical governance and quality/safety meetings.

Conclusions:

  • MTA measures trauma patient care processes and outcomes to drive quality improvement.
  • MTA supports the strategic development of trauma care in Ireland.
  • Monitoring processes and outcomes facilitates evaluation of trauma service changes.