Items tagged with ENGLISH

Objectives:
The core learning objectives of this module are to provide a basic understanding of the following:

• How to Use Audit Filters
• How to Identify and Track Complications
• How to Identify and Track Errors, Adverse Events, and Sentinel Events
• How to Use Statistical Methods
• Summary and Conclusion

Objectives:
The core learning objectives of this module are to provide a basic understanding of the following:

• Guidelines, Pathways, and Protocols of Corrective Strategies
• Targeted Education as Part of Corrective Strategies
• Improvement for Specific Providers as Part of Corrective Strategies
• Improvement of Resources, Facilities, or Communication as Part of Corrective Strategies
• How to Close the Loop
• Summary and Conclusion

Objectives:
The core learning objectives of this module are to provide a basic understanding of the following:

• The Importance of Adequate Data Collection
• How to Implement Trauma Registries
• Summary and Conclusion

Objectives:
The core learning objectives of this module are to provide a basic understanding of the following:

• Strengthening Trauma Care at the Prehospital Level
• Strengthening Trauma Care in Hospitals of Different Levels
• Summary and Conclusion

No abstract available.

Introduction
In 2018 a working group of trauma nurses was set up to guide the development of this professional development framework. The group comprised representation from hospitals across the country, from small to large hospitals, and a range of experience from new to role to experienced (Appendix A).

The group identified four key areas of focus which form the basis of the framework:

1. Current state
2. Core trauma nursing skills and training
3. Advanced trauma nurse career options
4. Future trauma nursing state

This framework does have limitations and in particular we note the need to build the capacity and capability of the Maori trauma nursing workforce, incorporating Te Tiriti o Waitangi to address the burden of trauma for Maori across all aspects of the trauma system, and providing guidance on the level of resourcing in line with caseload. Future revisions of this framework should incorporate these aspects. This is the first time a trauma nurse professional development framework has been developed in New Zealand. We envisage this framework will be amended in time as our understanding of the role evolves and our trauma system matures.

Notwithstanding these limitations, this early work is an important step to building a high-performing trauma nursing workforce in New Zealand.

About major trauma in New Zealand
Major trauma accommodates those patients that incur injuries which have a threat to life. There are approximately 2,000 major trauma events per year and include injuries ranging from serious injury such as pelvic fractures, through to catastrophic injuries such as traumatic brain injury or mangled limbs which require intensive life-long care.

The burden of trauma is distributed unequally across New Zealand, and between population groups. Some regions have a disproportionally high incidence of major trauma and variation in the causes of injury. The burden of major trauma for Maori ais nearly double that for non-Maori, and the high incidence rate for young Maori males is of concern.

The National Trauma Network (the “Network”) was set up in 2012 to drive quality improvement across the trauma system and bring us into line with contemporary trauma systems internationally. Sponsored by ACC the Network has a strong clinical focus as the opportunity to improve outcomes for major trauma patient is largely in pre-hospital and hospital care. Best practice care results in fewer deaths and decreased life-long injury, and a more efficient health service.

There are variable levels of maturity in the trauma systems across the country, and many nurses and doctors are relatively new to role. The intent of this framework is to support a common understanding and consistent implementation of the trauma nurse role.

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Background: The main function of a trauma registry is to assess quality assurance and performance improvement (QA/PI) in an individual institution. Non-validated registry data may produce unreliable reports and QA/PI information. This study examines the types of data entry errors in a trauma registry database; the effect of errors on time variable estimates, case ascertainment and statistical measurement; dynamics of error occurrence; and data validation (DV) scheme for a trauma registry.

Methods: Query and cross-tabulation techniques were used to expose a variety of data entry errors. Conceptual aspect for each type of error in DV, especially with respect to QA/PI, is given.

Results: Findings of different errors are provided: out-of-range time values; false positive and false negative errors; errors of commission and omission; duplication errors; errors in demographics; and errors because of inconsistent and incongruent coding. Error rates were less than 3% in commonly occurring data, such as scene time, demographics, hospital discharge and transportation, and greater in less commonly occurring but important data, such as thoracic aorta injury (9.5%) and audit filter for admit Glasgow Coma Scale in emergency department (55.6%). Dynamics of error occurrence that can prevent or minimize errors is described. The main features of a data validation scheme are displayed.

Conclusions: Errors in a trauma registry database cause invalid frequencies, rates, time estimates and statistical measures and affect QA/PI in trauma care. Every functioning trauma registry should develop an on-going program for DV.