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Implementation of recommended trauma system criteria in south-eastern Norway: a cross-sectional hospital survey.

Kristiansen T, Ringdal KG, Skotheimsvik T, Salthammer HK, Gaarder C, Naess PA, Lossius HM - Scand J Trauma Resusc Emerg Med (2012)

Bottom Line: We wanted to assess the level of implementation of these recommendations.A survey of all acute care hospitals that receive severely injured patients in the south-eastern health region of Norway was conducted.Out of the 17 criteria that had been identified, the hospitals fulfilled a median of 12 criteria.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Research, Norwegian Air Ambulance Foundation, Drøbak, Norway. thomas.kristiansen@norskluftambulanse.no

ABSTRACT

Background: Formalized trauma systems have shown beneficial effects on patient survival and have harvested great recognition among health care professionals. In spite of this, the implementation of trauma systems is challenging and often met with resistance.Recommendations for a national trauma system in Norway were published in 2007. We wanted to assess the level of implementation of these recommendations.

Methods: A survey of all acute care hospitals that receive severely injured patients in the south-eastern health region of Norway was conducted. A structured questionnaire based on the 2007 national recommendations was used in a telephone interview of hospital trauma personnel between January 17 and 21, 2011. Seventeen trauma system criteria were identified from the recommendations.

Results: Nineteen hospitals were included in the study and these received more than 2000 trauma patients annually via their trauma teams. Out of the 17 criteria that had been identified, the hospitals fulfilled a median of 12 criteria. Neither the size of the hospitals nor the distance between the hospitals and the regional trauma centre affected the level of trauma resources available. The hospitals scored lowest on the criteria for transfer of patients to higher level of care and on the training requirements for members of the trauma teams.

Conclusion: Our study identifies a major shortcoming in the efforts of regionalizing trauma in our region. The findings indicate that training of personnel and protocols for inter-hospital transfer are the major deficiencies from the national trauma system recommendations. Resources for training of personnel partaking in trauma teams and development of inter-hospital transfer agreements should receive immediate attention.

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Related in: MedlinePlus

Pie chart with percentages showing availability of senior surgeons and anaesthesiologists stratified according to 24-hour availability, within 15 minutes and within 30 minutes.
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Figure 3: Pie chart with percentages showing availability of senior surgeons and anaesthesiologists stratified according to 24-hour availability, within 15 minutes and within 30 minutes.

Mentions: The anaesthesiologists were more immediately accessible during out of office hours than the surgeons. See Figure 3 for the two professions' distribution on the different categories of availability.


Implementation of recommended trauma system criteria in south-eastern Norway: a cross-sectional hospital survey.

Kristiansen T, Ringdal KG, Skotheimsvik T, Salthammer HK, Gaarder C, Naess PA, Lossius HM - Scand J Trauma Resusc Emerg Med (2012)

Pie chart with percentages showing availability of senior surgeons and anaesthesiologists stratified according to 24-hour availability, within 15 minutes and within 30 minutes.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3285082&req=5

Figure 3: Pie chart with percentages showing availability of senior surgeons and anaesthesiologists stratified according to 24-hour availability, within 15 minutes and within 30 minutes.
Mentions: The anaesthesiologists were more immediately accessible during out of office hours than the surgeons. See Figure 3 for the two professions' distribution on the different categories of availability.

Bottom Line: We wanted to assess the level of implementation of these recommendations.A survey of all acute care hospitals that receive severely injured patients in the south-eastern health region of Norway was conducted.Out of the 17 criteria that had been identified, the hospitals fulfilled a median of 12 criteria.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Research, Norwegian Air Ambulance Foundation, Drøbak, Norway. thomas.kristiansen@norskluftambulanse.no

ABSTRACT

Background: Formalized trauma systems have shown beneficial effects on patient survival and have harvested great recognition among health care professionals. In spite of this, the implementation of trauma systems is challenging and often met with resistance.Recommendations for a national trauma system in Norway were published in 2007. We wanted to assess the level of implementation of these recommendations.

Methods: A survey of all acute care hospitals that receive severely injured patients in the south-eastern health region of Norway was conducted. A structured questionnaire based on the 2007 national recommendations was used in a telephone interview of hospital trauma personnel between January 17 and 21, 2011. Seventeen trauma system criteria were identified from the recommendations.

Results: Nineteen hospitals were included in the study and these received more than 2000 trauma patients annually via their trauma teams. Out of the 17 criteria that had been identified, the hospitals fulfilled a median of 12 criteria. Neither the size of the hospitals nor the distance between the hospitals and the regional trauma centre affected the level of trauma resources available. The hospitals scored lowest on the criteria for transfer of patients to higher level of care and on the training requirements for members of the trauma teams.

Conclusion: Our study identifies a major shortcoming in the efforts of regionalizing trauma in our region. The findings indicate that training of personnel and protocols for inter-hospital transfer are the major deficiencies from the national trauma system recommendations. Resources for training of personnel partaking in trauma teams and development of inter-hospital transfer agreements should receive immediate attention.

Show MeSH
Related in: MedlinePlus