Trauma and Acute Care Surgery, Division of Surgery, Rambam Health Care Campus, Haifa 3109601, Israel.
The Ruth and Bruce Rappaport Faculty of Medicine, Technion, Institute of Technology, Haifa 3109601, Israel.
Int J Environ Res Public Health. 2022 Feb 7;19(3):1866. doi: 10.3390/ijerph19031866.
: One of the tasks of a level I trauma center is quality improvement of level II and level III regional hospitals and emergency medical services by means of continuous education and learning processes. One of the tools for this, which provides constant monitoring of the quality of treatment, is feedback. The purpose of the study was to evaluate the effect of feedback on the quality of trauma care. : Retrospective cohort study comprising two periods of time, 2012-2013 and 2017-2018. The study group included physicians and pre-hospital staff who treated patients prior to referral to the level I center. Upon arrival when the trauma teams identified issues requiring improvement, they were asked to fill in feedback forms. Data on patients treated in the trauma shock room for whom feedback forms were filled out were also extracted. : A total of 662 feedback forms were completed, showing a significant improvement ( ˂ 0.0001). The majority of the medical personnel who received the most negative feedback were the pre-hospital staff. A significant increase was revealed in the number of feedbacks with reference to mismanagement of backboard spinal fixation, of the pre-hospital staff, in 2012-2013 compared to 2017-2018 ( < 0.001). Improvement in reducing the time of treatment in the field was also revealed, from 15.2 ± 8.3 min in 2012-2013 to 13.4 ± 7.9 min in 2017-2018. : The findings show that feedback improves the treatment of injured patients. Furthermore, constantly monitoring the quality of treatment provided by the trauma team is vital for improvement.
一级创伤中心的任务之一是通过持续的教育和学习过程来提高二级和三级区域医院和紧急医疗服务的质量。其中一个工具是反馈,它提供了对治疗质量的持续监测。本研究的目的是评估反馈对创伤护理质量的影响。
这是一项回顾性队列研究,包括两个时间段,2012-2013 年和 2017-2018 年。研究组包括在转诊到一级中心之前治疗患者的医生和院前工作人员。当创伤小组发现需要改进的问题时,他们被要求填写反馈表。还提取了在创伤复苏室治疗的患者的数据,这些患者填写了反馈表。
共完成了 662 份反馈表,显示出显著的改善(<0.0001)。收到最负面反馈的大多数医务人员是院前工作人员。与 2012-2013 年相比,2017-2018 年院前工作人员在背板脊柱固定不当管理方面的反馈数量显著增加(<0.001)。还显示出在减少现场治疗时间方面的改善,从 2012-2013 年的 15.2±8.3 分钟减少到 2017-2018 年的 13.4±7.9 分钟。
研究结果表明,反馈可以改善受伤患者的治疗效果。此外,持续监测创伤团队提供的治疗质量对于改进至关重要。