Mission Health, Asheville, North Carolina.
J Trauma Nurs. 2021;28(2):126-134. doi: 10.1097/JTN.0000000000000570.
Well-developed trauma programs take years of planning, dedication, and commitment to the trauma population to achieve the desired outcomes and, even more, resilience and persistence to maintain a high-quality standard of care. Despite widespread trauma care systems across the nation and their link to improved outcomes for the trauma patient, there is a paucity of literature outlining the foundational elements required to evolve and grow a successful trauma program.
The purpose of this article is to outline the key elements for developing and maintaining a successful trauma program that yields high-quality patient outcomes.
Developing a program requires intense focus and continued efforts. Multiple foundational building blocks can facilitate program success and foster program growth.
Foundational elements include leadership structure and support, building the right team, clinical expertise, trauma registry, program data, research, outreach and education, injury prevention, and ensuring adequate survey readiness. Building on these foundational elements, engagement of stakeholders at all levels throughout the program and organization can help drive program growth. Using these strategies, a program has been able to grow from 7.6 full-time equivalents to 24.4 in just a few short years while achieving, exceeding, and sustaining top metrics across state and national benchmarks.
A program can achieve sustainable, high-quality outcomes for the trauma patient by following a structured team approach to program development. Using the outlined building blocks for program development and sustainability, a successful trauma program can lead to improved patient and program outcomes.
完善的创伤项目需要多年的规划、投入和对创伤人群的承诺，才能实现预期的成果，更需要韧性和坚持来维持高质量的护理标准。尽管全国范围内都有广泛的创伤护理系统，并与创伤患者的改善结果相关联，但很少有文献概述发展和壮大成功创伤项目所需的基本要素。
本文旨在概述发展和维持成功创伤项目的关键要素，以产生高质量的患者结果。
制定计划需要高度专注和持续努力。多个基础建设模块可以促进计划的成功并促进计划的增长。
基本要素包括领导结构和支持、组建合适的团队、临床专业知识、创伤登记处、计划数据、研究、外展和教育、伤害预防以及确保充分的调查准备。在此基础上，在整个项目和组织的各个层面上吸引利益相关者的参与，可以帮助推动项目的发展。通过这些策略，一个项目在短短几年内就从 7.6 个全职当量增加到 24.4 个，同时在州和国家基准上实现、超过和维持了最高指标。
通过采用结构化的团队方法来制定项目计划，项目可以为创伤患者实现可持续的高质量结果。通过制定项目发展和可持续性的基本模块，成功的创伤项目可以带来改善的患者和项目结果。
