Classification of trauma-related preventable death; protocol of a Delphi procedure

Area of Science:

• Medical research
• Trauma care quality improvement
• Public health

Background:

• Trauma-related preventable death is a key metric for evaluating trauma care globally.
• Current definitions lack validity due to inconsistent terminology and classifications.
• A standardized definition is needed to accurately assess and improve trauma care outcomes.

Purpose of the Study:

• To reach a consensus on the definition of trauma-related preventable death.
• To improve the assessment and identification of preventable deaths in trauma patients.
• To enhance the overall quality of trauma care through a validated definition.

Main Methods:

• A three-round, electronic Delphi study was conducted in the Netherlands.
• Experts from Level 1 trauma centers in Trauma Surgery, Neurosurgery, Forensic Medicine, Anesthesiology, and Emergency Medicine participated.
• The study involved commenting on existing definitions and algorithms, followed by retesting areas of disagreement.

Main Results:

• The Delphi procedure facilitated group consensus on a definition for trauma-related preventable death.
• The study established a scientifically valid definition based on expert agreement.
• This consensus definition aims to standardize the assessment of preventable trauma deaths.

Conclusions:

• A valid, fair, and applicable definition of trauma-related preventable death is essential for trauma care evaluation.
• The Delphi technique proved effective in achieving group consensus for a scientific definition.
• The developed definition will aid in the accurate identification and assessment of trauma-related preventable deaths, leading to improved care quality.