Department of Emergency Medicine.
Department of Surgery.
Eur J Emerg Med. 2020 Apr;27(2):121-124. doi: 10.1097/MEJ.0000000000000627.
A precise tool for analysis of trauma team performance is missing.
To create a framework for trauma team performance analysis and feedback.
An observational study in a level I trauma centre in Lithuania was performed from January 1 2017 to August 31 2017. Audio/video review process was used to evaluate technical and nontechnical performance of the trauma team.
In total, 143 trauma team activations were analysed. The mean rate of completion for the primary survey based on Advanced Trauma Life Support principles was 68.5%. Technical steps of patient resuscitation were measured in seconds during first hour of the treatment. The T-NOTECHS scale mean score was 11.99 (SD 2.9).
During the study period, we were able to measure the time needed for certain steps in trauma patient evaluation and management. Based on this analysis, a performance improvement program will be devised, including the HybridLab medical simulation, audio/video debriefing, and individualised feedback sessions.
目前缺乏用于分析创伤团队绩效的精确工具。
创建一个用于创伤团队绩效分析和反馈的框架。
在立陶宛的一家一级创伤中心进行了一项观察性研究，时间为 2017 年 1 月 1 日至 2017 年 8 月 31 日。使用音频/视频审查过程评估创伤团队的技术和非技术表现。
共分析了 143 次创伤团队激活。基于高级创伤生命支持原则的初步调查的完成率平均为 68.5%。在治疗的第一个小时内，以秒为单位测量了患者复苏的技术步骤。T-NOTECHS 量表的平均得分为 11.99（标准差 2.9）。
在研究期间，我们能够测量创伤患者评估和管理中某些步骤所需的时间。在此分析的基础上，将设计一个绩效改进计划，包括 HybridLab 医疗模拟、音频/视频讨论和个性化反馈会议。
