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The Tertiary Survey as a Quality Improvement Initiative in Pediatric Trauma Care

Emily Ulloa1, Jessica Archie1, Sruthi Slevakumar2

  • 1Arnold Palmer Children's Hospital at Orlando Health, Orlando, FL, USA.

The American Surgeon
|May 9, 2023
PubMed

Insights

The tertiary trauma survey (TTS) aids in detecting missed injuries in pediatric trauma patients. Implementing TTS improves the quality of care and injury detection in this population.

Area of Science:

  • Trauma Care
  • Pediatric Surgery
  • Quality Improvement

Background:

  • Multisystem trauma patients risk missed or delayed injuries.
  • Tertiary trauma surveys (TTS) can identify these injuries.
  • Limited data exists on TTS in pediatric trauma.

Purpose of the Study:

  • Assess TTS as a quality improvement tool in pediatric trauma.
  • Evaluate TTS for identifying missed/delayed injuries.
  • Improve care quality for pediatric trauma patients.

Main Methods:

  • Retrospective study of a QI/PI project on TTS in pediatric trauma.
  • Inclusion criteria: ISS > 12 and/or hospital stay > 72 hours.
  • Study period: 08-2020 to 08-2021 at a level 1 trauma center.

Main Results:

  • 85 of 535 (16%) pediatric trauma patients received a TTS.
  • 13 unaddressed/undertreated injuries found in 11 patients.
  • Additional imaging after TTS identified 6 of 13 injuries.

Conclusions:

  • TTS is a valuable tool for quality improvement in trauma care.
  • Standardizing TTS can facilitate prompt injury detection.
  • TTS implementation can improve pediatric trauma patient care.
Abstract

Keywords:
patient satisfactionpediatric traumaperformance improvementquality outcomestrauma tertiary surgery

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