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European Journal of Trauma and Emergency Surgery

Published in:

01-04-2022 | Decubitus Ulcer | Original Article

Derivation and validation of actionable quality indicators targeting reductions in complications for injury admissions

Authors: Abakar Idriss-Hassan, Mélanie Bérubé, Amina Belcaïd, Julien Clément, Gilles Bourgeois, Christine Rizzo, Xavier Neveu, Kahina Soltana, Jaimini Thakore, Lynne Moore

Published in: European Journal of Trauma and Emergency Surgery | Issue 2/2022

Abstract

Purpose

Approximately, one out of five patients hospitalized following injury will develop at least one hospital complication, more than three times that observed for general admissions. We currently lack actionable Quality Indicators (QI) targeting specific complications in this population. We aimed to derive and validate QI targeting hospital complications for injury admissions and develop algorithms to identify patient charts to review.

Methods

We conducted a retrospective cohort study including patients with major trauma admitted to any level I or II adult trauma center an integrated Canadian trauma system (2014–2019). We used the trauma registry to develop five QI targeting deep vein thrombosis/pulmonary embolism (DVT/PE), decubitus ulcers, delirium, pneumonia and urinary tract infection (UTI). We developed algorithms to identify patient charts to revise on consultation with a group of clinical experts.

Results

The study population included 14,592 patients of whom 5.3% developed DVT or PE, 2.7% developed a decubitus ulcer, 8.6% developed delirium, 14.7% developed pneumonia and 7.3% developed UTI. The indicators demonstrated excellent predictive performance (Area Under the Curve 0.81–0.87). We identified 4 hospitals with a higher than average incidence of at least one of the targeted complications. The algorithms identified on average 50 and 20 charts to be reviewed per year for level I and II centers, respectively.

Conclusion

In line with initiatives to improve the quality of trauma care, we propose QI targeting reductions in hospital complications for injury admissions and algorithms to generate case lists to facilitate the review of patient charts.

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Title: Derivation and validation of actionable quality indicators targeting reductions in complications for injury admissions
Authors: Abakar Idriss-Hassan
Mélanie Bérubé
Amina Belcaïd
Julien Clément
Gilles Bourgeois
Christine Rizzo
Xavier Neveu
Kahina Soltana
Jaimini Thakore
Lynne Moore
Publication date: 01-04-2022
Publisher: Springer Berlin Heidelberg
Keywords: Decubitus Ulcer
Decubitus Ulcer
Pneumonia
Urinary Tract Infection
Published in: European Journal of Trauma and Emergency Surgery / Issue 2/2022
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-021-01681-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Derivation and validation of actionable quality indicators targeting reductions in complications for injury admissions

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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