Multiregion Trauma Center Follow-Up Protocol for Transferred Trauma Patients
Mary E Moran1, Deanah Moore, Jessica Krizo
1Department of Research, Sponsored Programs, and Innovation, Summa Health, Akron, Ohio (Dr Moran); Division of Trauma, Department of Surgery, Summa Health System-Akron Campus, Akron, Ohio (Drs Moran and George); Akron Regional Hospital Association, Akron, Ohio (Ms Moore); Trauma Administration, Mercy Health-St. Vincent Medical Center, Toledo, Ohio (Ms Moore); Department of Research (Dr Krizo), and Division of Trauma, Department of General Surgery (Dr Krizo and Ms Keefe), Cleveland Clinic Akron General, Akron, Ohio; Northern Ohio Trauma System, Brooklyn Heights, Ohio (Mss Houck and Rossler); and Northeast Ohio Medical University, Rootstown, Ohio (Dr George).
Background:
Trauma centers routinely utilize the Injury Severity Score for performance improvement. Yet, transferring facilities do not always have access to patients' final Injury Severity Score.
Objective:
The purpose of this project was to develop and implement a multiregion Injury Severity Score follow-up feedback protocol for transferring facilities to receive standardized information on patient treatment and the ability to calculate an accurate follow-up Injury Severity Score of transferred patients.
Methods:
This project included 25 Adult and Pediatric Level I, II, and III trauma centers within three regional trauma systems in a Midwestern state. This project included trauma centers that used one of the two different trauma registry software systems as a solution to develop and implement a protocol for follow-up feedback for transferred trauma patients. A template was created to capture data posttransfer to calculate a final Injury Severity Score.
Results:
The feedback protocol was well received by participating regions. Implementation revealed the impact of variable trauma registry software on the ability to create multi-institution feedback programs.
Conclusion:
Trauma systems can implement similar strategies to ensure transferring trauma centers routinely receive standardized, timely patient feedback.
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