Casas Isidro Martínez, Marzi Ingo
Trauma and Emergency Surgery Unit, General Surgery Department, Virgen del Rocío University Hospital, Sevilla, Spain.
Department of Trauma Surgery and Orthopedics, University Hospital, Goethe University Frankfurt, Frankfurt am Main, Germany.
Eur J Trauma Emerg Surg. 2025 Apr 29;51(1):186. doi: 10.1007/s00068-025-02826-6.
Over recent decades, advancements in trauma care have significantly reduced mortality rates among severely injured patients. These improvements are largely attributable to the establishment of trauma care systems, including prehospital management protocols and the creation of trauma centres with immediate surgical team availability. However, patient outcomes continue to vary, reflecting differences in the quality of trauma care influenced by organisational models and local practices. To address this, governments and scientific organisations have underscored the importance of evaluating care quality at local, national, and international levels. This chapter explores strategies for assessing quality of trauma care, establishing reliable quality indicators (QIs), and standardising auditing processes to guide improvements in patient outcomes and system performance.
在最近几十年中，创伤护理的进步显著降低了重伤患者的死亡率。这些改善很大程度上归因于创伤护理系统的建立，包括院前管理方案以及创建配备即时可用手术团队的创伤中心。然而，患者的治疗结果仍然存在差异，这反映了受组织模式和当地实践影响的创伤护理质量的差异。为了解决这一问题，政府和科学组织强调了在地方、国家和国际层面评估护理质量的重要性。本章探讨了评估创伤护理质量、建立可靠的质量指标（QIs）以及规范审核流程的策略，以指导改善患者治疗结果和系统性能。
