StateTrauma Presentation

Process Improvement October 2, 2018

Trauma Coordinator Patricia Woolridge RN, MSN, MHA

Trauma Nurse Leader Karen Brandenburg RN

Midas Integrated Quality Management Program Trauma Nurse Leader initiates Focus Study

Debriefing Feedback Form

Primary Review

Committee Defined Audit Filters

o Death related to trauma

o Backboard Time>20 min

o >3000 cc Fluid given

o LOS > 2 hours

Secondary Review

Tertiary Review

Trauma Process Improvement

TRAUMA FEEDBACK INFORMATION (T-99) Huron Regional Medical Center -- Quality Assessment and Performance Improvement

Confidential Internal Use Only

Pt. Initials: ____________Pt. Acct #_____________ MOI: _____________________Event Date: ____________________

Source: Debriefings, input form participants in event/code, post-event evaluations, comments, suggestions, concerns,

and observations:

ASPECT FUNCTION AND INDICATOR MEASURE

STRENGTHS What went well,, worked,, what made a positive

difference in process or outcome – behaviors, communications, actions, etc.

OPPORTUNITIES TO IMPROVE Observations or comments from participants,

feedback on areas of weakness, that need work, could do better, could improve, negative barriers to

process or outcome, what needs to change?

MAN (people, patients, providers, competence, staffing, training/education)

METHODS (policies, procedures, protocols, processes, communications or delivery systems, process flow, organized assessments)

MATERIALS (i.e. forms, medical and technical supplies, blood supply, renewables, references, size/age specific chars, visual references)

MACHINES AND ENVIRONMENT (Equipment, computers, utilities, carts, tables, layout)

Staff Signature________________________________________

Return comments, suggestions to Director of HRMC Emergency Department 3-2-16 Reviewed : 3/17

Trauma Feedback Form

Summary Midas Report

Summary Midas Report

Case Presentation

Trauma Program Improvements

Goal-Improve Backboard Removal Times

Develop Guidelines

Educate Staff

Audit Filter Tracking

STATS

o 2015 38% removed 0-30 min

o 2017 88% removed 0-30 min ( 63% within 20 min)

Trauma Team Alert - State Definition expanded to add Mechanism of Injury additions from CDC Guidelines for Field Triage

High Rate of Speed

Ejection

Major Vehicle Damage

EMS Communication

& Participation- feedback

Ongoing PI Projects

EMS APPRECIATION GIFT