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Related Experiment Videos

Standardized Trauma Admission Orders, a pilot project

P A Schedler1, S Neely

  • 1University of Wisconsin Hospital and Clinics, Madison, USA.

International Journal of Trauma Nursing
|January 1, 1996
PubMed
Summary

Standardized Trauma Admission Orders (STAOs) significantly reduced laboratory charges by $345 per patient and improved order completeness. Staff overwhelmingly supported STAOs, meeting admission order needs in the surgical-trauma intensive care unit.

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Area of Science:

  • Trauma Surgery
  • Healthcare Quality Improvement
  • Medical Informatics

Background:

  • Physician ordering variability and missed orders increase healthcare costs and impact patient care.
  • Standardized admission orders can streamline patient care processes.

Purpose of the Study:

  • To implement and evaluate the impact of Standardized Trauma Admission Orders (STAOs) in a surgical-trauma intensive care unit.
  • To reduce in-patient admission laboratory charges, missed orders, and physician ordering variability.

Main Methods:

  • Retrospective chart review of two groups (n=30 each) comparing pre- and post-STAOs implementation.
  • User satisfaction surveys administered before and after STAOs implementation.

Main Results:

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  • A significant reduction in in-patient admission laboratory charges, averaging $345 per patient.
  • Improved completeness in 5 out of 21 reviewed admission orders.
  • 79% of surveyed staff favored STAOs, indicating needs were met.

Conclusions:

  • STAOs implementation led to significant cost savings and improved order completeness.
  • STAOs are a valuable tool for enhancing efficiency and quality in trauma care.
  • Further development of standardized orders for neurosurgical and trauma units is underway.