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A Modified Delphi Study to Build Consensus on Pediatric-Specific Trauma Quality Indicators.

Bailey K Roberts¹, Brendan T Campbell², Aaron R Jensen³

¹Department of Pediatric Surgery, Cohen Children's Medical Center, Northwell Health, New Hyde Park, NY, USA.

Journal of Pediatric Surgery

|May 12, 2025

Summary

This summary is machine-generated.

A modified Delphi method identified 52 pediatric trauma quality indicators (QI) to enhance care. These new and adapted QI will guide quality improvement and benchmarking in pediatric trauma centers.

Keywords:

Pediatric trauma Quality improvement

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Area of Science:

Pediatric Trauma Care
Quality Improvement Science
Health Services Research

Background:

Quality improvement (QI) efforts in pediatric trauma care have increased, driven by programs like the American College of Surgeons Pediatric Trauma Quality Improvement Program.
A lack of consensus exists on specific quality indicators (QI) for measuring the quality of care in pediatric trauma patients.
This study addresses the need for pediatric-specific trauma QI.

Purpose of the Study:

To identify and define pediatric-specific quality indicators (QI) for trauma care.
To establish a comprehensive list of QI to improve the quality of care for pediatric trauma patients.
To inform quality improvement and benchmarking efforts in pediatric trauma centers.

Main Methods:

An expert panel of pediatric trauma leaders was convened.
A modified Delphi method was employed for virtual meetings and anonymous voting to define and refine potential QI.
Prioritization of indicators was based on their importance for pediatric trauma care.

Main Results:

Fourteen experts participated in the study.
Following three rounds of voting and meetings, 52 QI were selected.
These QI include 25 outcome, 21 process, and 6 structure variables across 6 quality domains, encompassing unique pediatric pathways, timeliness, injury prevention, and long-term outcomes.

Conclusions:

A novel list of pediatric trauma QI was developed using a modified Delphi method.
These QI are intended to guide quality improvement and benchmarking initiatives.
Further analysis of outcomes is needed to validate the accuracy and utility of these indicators, serving as a foundation for national QI efforts.