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Related Concept Videos

SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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Undertriage in trauma: an ignored quality indicator?

Elisabeth Jeppesen1,2, Mathias Cuevas-Østrem3,4, Cathrine Gram-Knutsen4

  • 1Department of Research and Development, Norwegian Air Ambulance Foundation, NO-0103, Oslo, Norway. elisabeth.jeppesen@norskluftambulanse.no.

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
|May 8, 2020
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Summary

Early identification of severe trauma is crucial. However, only half of Norwegian hospitals can report undertriage rates, hindering patient safety and optimal trauma care improvements.

Keywords:
Quality indicatorTrauma systemUndertriage

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Area of Science:

  • Trauma care systems
  • Injury surveillance
  • Healthcare quality indicators

Background:

  • Effective trauma care necessitates early identification of life-threatening injuries to minimize morbidity and mortality.
  • Norway's 2017 National Trauma Plan aims to optimize care through quality indicators, yet undertriage remains a neglected area.
  • Undertriage, defined as severely injured patients not receiving trauma team attention, is a critical quality indicator with a benchmark of less than 5%.

Discussion:

  • A national survey revealed that only 50% of Norwegian trauma-receiving hospitals can provide undertriage data.
  • The current national trauma system is ill-equipped to collect essential data on this specific quality indicator.
  • Ongoing national discussions regarding the definition of severe injury may impact future undertriage metrics.

Key Insights:

  • Knowledge of undertriage is vital for enhancing patient safety and refining triage tools.
  • Improved data collection on undertriage can provide valuable learning opportunities for hospitals and prehospital services.
  • A significant gap exists in the reporting and utilization of undertriage data among Norwegian hospitals.

Outlook:

  • Future efforts should focus on standardizing undertriage data collection and reporting across all trauma centers.
  • Hospital administrators must prioritize requesting and analyzing undertriage data to drive quality improvement.
  • Refining the definition of severe injury is essential for accurate undertriage assessment and improved trauma system performance.