Implementation of the trauma registry as a tool for quality improvement in trauma care in a brazilian hospital: the first 12 months
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000500265 |
Resumo: | ABSTRACTObjective:to analyze the implementation of a trauma registry in a university teaching hospital delivering care under the unified health system (SUS), and its ability to identify points for improvement in the quality of care provided.Methods:the data collection group comprised students from medicine and nursing courses who were holders of FAPESP scholarships (technical training 1) or otherwise, overseen by the coordinators of the project. The itreg (ECO Sistemas-RJ/SBAIT) software was used as the database tool. Several quality "filters" were proposed to select those cases for review in the quality control process.Results:data for 1344 trauma patients were input to the itreg database between March and November 2014. Around 87.0% of cases were blunt trauma patients, 59.6% had RTS>7.0 and 67% ISS<9. Full records were available for 292 cases, which were selected for review in the quality program. The auditing filters most frequently registered were laparotomy four hours after admission and drainage of acute subdural hematomas four hours after admission. Several points for improvement were flagged, such as control of overtriage of patients, the need to reduce the number of negative imaging exams, the development of protocols for achieving central venous access, and management of major TBI.Conclusion: the trauma registry provides a clear picture of the points to be improved in trauma patient care, however, there are specific peculiarities for implementing this tool in the Brazilian milieu. |
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Implementation of the trauma registry as a tool for quality improvement in trauma care in a brazilian hospital: the first 12 monthsMultiple TraumaWounds and InjuriesTrauma Severity IndicesMedical RecordsQuality ControlABSTRACTObjective:to analyze the implementation of a trauma registry in a university teaching hospital delivering care under the unified health system (SUS), and its ability to identify points for improvement in the quality of care provided.Methods:the data collection group comprised students from medicine and nursing courses who were holders of FAPESP scholarships (technical training 1) or otherwise, overseen by the coordinators of the project. The itreg (ECO Sistemas-RJ/SBAIT) software was used as the database tool. Several quality "filters" were proposed to select those cases for review in the quality control process.Results:data for 1344 trauma patients were input to the itreg database between March and November 2014. Around 87.0% of cases were blunt trauma patients, 59.6% had RTS>7.0 and 67% ISS<9. Full records were available for 292 cases, which were selected for review in the quality program. The auditing filters most frequently registered were laparotomy four hours after admission and drainage of acute subdural hematomas four hours after admission. Several points for improvement were flagged, such as control of overtriage of patients, the need to reduce the number of negative imaging exams, the development of protocols for achieving central venous access, and management of major TBI.Conclusion: the trauma registry provides a clear picture of the points to be improved in trauma patient care, however, there are specific peculiarities for implementing this tool in the Brazilian milieu.Colégio Brasileiro de Cirurgiões2015-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000500265Revista do Colégio Brasileiro de Cirurgiões v.42 n.4 2015reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-69912015004012info:eu-repo/semantics/openAccessPARREIRA,JOSÉ GUSTAVOCAMPOS,TÉRCIO DEPERLINGEIRO,JACQUELINE A. GIANINNISOLDÁ,SILVIA C.ASSEF,JOSÉ CESARGONÇALVES,AUGUSTO CANTONZUFFO,BRUNO MALTEZEFLORIANO,CAIO GOMESOLIVEIRA,ERIK HARUK DEOLIVEIRA,RENATO VIEIRA RODRIGUES DEOLIVEIRA,AMANDA LIMAMELO,CAIO GULLO DEBELOW,CRISTIANOMIRANDA,DINO R. PÉREZSANTOS,GABRIELLA COLASUONNOALMEIDA,GABRIELE MADEIRA DEBRIANTI,ISABELA CAMPOSVOTTO,KARINA BARUEL DE CAMARGOSCHUES,PATRICK ALEXANDER SAUERSANTOS,RAFAEL GOMES DOSFIGUEREDO,SÉRGIO MAZZOLA POLI DEARAUJO,TATIANI GONÇALVES DESANTOS,BRUNA DO NASCIMENTOFERREIRA,LAURA CARDOSO MANDUCATANAKA,GIULIANA OLIVIMATOS,THIARASOUSA,MARIA DAIANA DAAUGUSTO,SAMARA DE SOUZAeng2015-10-23T00:00:00Zoai:scielo:S0100-69912015000500265Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2015-10-23T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Implementation of the trauma registry as a tool for quality improvement in trauma care in a brazilian hospital: the first 12 months |
title |
Implementation of the trauma registry as a tool for quality improvement in trauma care in a brazilian hospital: the first 12 months |
spellingShingle |
Implementation of the trauma registry as a tool for quality improvement in trauma care in a brazilian hospital: the first 12 months PARREIRA,JOSÉ GUSTAVO Multiple Trauma Wounds and Injuries Trauma Severity Indices Medical Records Quality Control |
title_short |
Implementation of the trauma registry as a tool for quality improvement in trauma care in a brazilian hospital: the first 12 months |
title_full |
Implementation of the trauma registry as a tool for quality improvement in trauma care in a brazilian hospital: the first 12 months |
title_fullStr |
Implementation of the trauma registry as a tool for quality improvement in trauma care in a brazilian hospital: the first 12 months |
title_full_unstemmed |
Implementation of the trauma registry as a tool for quality improvement in trauma care in a brazilian hospital: the first 12 months |
title_sort |
Implementation of the trauma registry as a tool for quality improvement in trauma care in a brazilian hospital: the first 12 months |
author |
PARREIRA,JOSÉ GUSTAVO |
author_facet |
PARREIRA,JOSÉ GUSTAVO CAMPOS,TÉRCIO DE PERLINGEIRO,JACQUELINE A. GIANINNI SOLDÁ,SILVIA C. ASSEF,JOSÉ CESAR GONÇALVES,AUGUSTO CANTON ZUFFO,BRUNO MALTEZE FLORIANO,CAIO GOMES OLIVEIRA,ERIK HARUK DE OLIVEIRA,RENATO VIEIRA RODRIGUES DE OLIVEIRA,AMANDA LIMA MELO,CAIO GULLO DE BELOW,CRISTIANO MIRANDA,DINO R. PÉREZ SANTOS,GABRIELLA COLASUONNO ALMEIDA,GABRIELE MADEIRA DE BRIANTI,ISABELA CAMPOS VOTTO,KARINA BARUEL DE CAMARGO SCHUES,PATRICK ALEXANDER SAUER SANTOS,RAFAEL GOMES DOS FIGUEREDO,SÉRGIO MAZZOLA POLI DE ARAUJO,TATIANI GONÇALVES DE SANTOS,BRUNA DO NASCIMENTO FERREIRA,LAURA CARDOSO MANDUCA TANAKA,GIULIANA OLIVI MATOS,THIARA SOUSA,MARIA DAIANA DA AUGUSTO,SAMARA DE SOUZA |
author_role |
author |
author2 |
CAMPOS,TÉRCIO DE PERLINGEIRO,JACQUELINE A. GIANINNI SOLDÁ,SILVIA C. ASSEF,JOSÉ CESAR GONÇALVES,AUGUSTO CANTON ZUFFO,BRUNO MALTEZE FLORIANO,CAIO GOMES OLIVEIRA,ERIK HARUK DE OLIVEIRA,RENATO VIEIRA RODRIGUES DE OLIVEIRA,AMANDA LIMA MELO,CAIO GULLO DE BELOW,CRISTIANO MIRANDA,DINO R. PÉREZ SANTOS,GABRIELLA COLASUONNO ALMEIDA,GABRIELE MADEIRA DE BRIANTI,ISABELA CAMPOS VOTTO,KARINA BARUEL DE CAMARGO SCHUES,PATRICK ALEXANDER SAUER SANTOS,RAFAEL GOMES DOS FIGUEREDO,SÉRGIO MAZZOLA POLI DE ARAUJO,TATIANI GONÇALVES DE SANTOS,BRUNA DO NASCIMENTO FERREIRA,LAURA CARDOSO MANDUCA TANAKA,GIULIANA OLIVI MATOS,THIARA SOUSA,MARIA DAIANA DA AUGUSTO,SAMARA DE SOUZA |
author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
PARREIRA,JOSÉ GUSTAVO CAMPOS,TÉRCIO DE PERLINGEIRO,JACQUELINE A. GIANINNI SOLDÁ,SILVIA C. ASSEF,JOSÉ CESAR GONÇALVES,AUGUSTO CANTON ZUFFO,BRUNO MALTEZE FLORIANO,CAIO GOMES OLIVEIRA,ERIK HARUK DE OLIVEIRA,RENATO VIEIRA RODRIGUES DE OLIVEIRA,AMANDA LIMA MELO,CAIO GULLO DE BELOW,CRISTIANO MIRANDA,DINO R. PÉREZ SANTOS,GABRIELLA COLASUONNO ALMEIDA,GABRIELE MADEIRA DE BRIANTI,ISABELA CAMPOS VOTTO,KARINA BARUEL DE CAMARGO SCHUES,PATRICK ALEXANDER SAUER SANTOS,RAFAEL GOMES DOS FIGUEREDO,SÉRGIO MAZZOLA POLI DE ARAUJO,TATIANI GONÇALVES DE SANTOS,BRUNA DO NASCIMENTO FERREIRA,LAURA CARDOSO MANDUCA TANAKA,GIULIANA OLIVI MATOS,THIARA SOUSA,MARIA DAIANA DA AUGUSTO,SAMARA DE SOUZA |
dc.subject.por.fl_str_mv |
Multiple Trauma Wounds and Injuries Trauma Severity Indices Medical Records Quality Control |
topic |
Multiple Trauma Wounds and Injuries Trauma Severity Indices Medical Records Quality Control |
description |
ABSTRACTObjective:to analyze the implementation of a trauma registry in a university teaching hospital delivering care under the unified health system (SUS), and its ability to identify points for improvement in the quality of care provided.Methods:the data collection group comprised students from medicine and nursing courses who were holders of FAPESP scholarships (technical training 1) or otherwise, overseen by the coordinators of the project. The itreg (ECO Sistemas-RJ/SBAIT) software was used as the database tool. Several quality "filters" were proposed to select those cases for review in the quality control process.Results:data for 1344 trauma patients were input to the itreg database between March and November 2014. Around 87.0% of cases were blunt trauma patients, 59.6% had RTS>7.0 and 67% ISS<9. Full records were available for 292 cases, which were selected for review in the quality program. The auditing filters most frequently registered were laparotomy four hours after admission and drainage of acute subdural hematomas four hours after admission. Several points for improvement were flagged, such as control of overtriage of patients, the need to reduce the number of negative imaging exams, the development of protocols for achieving central venous access, and management of major TBI.Conclusion: the trauma registry provides a clear picture of the points to be improved in trauma patient care, however, there are specific peculiarities for implementing this tool in the Brazilian milieu. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000500265 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000500265 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-69912015004012 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.42 n.4 2015 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
instname_str |
Colégio Brasileiro de Cirurgiões (CBC) |
instacron_str |
CBC |
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CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
repository.mail.fl_str_mv |
||revistacbc@cbc.org.br |
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1754209213135978496 |