Road traffic injuries cause death more than 1.25 million people every year worldwide. It was the number one cause of death among age group of 15 to 29 years old. The Emergency and Trauma Department in Malaysia are equipped and staffed with doctors and paramedics trained and ready for trauma care. Later is development of trauma center under state department of health. State wide basis typically organized trauma care system which include resuscitation, repair and rehabilitation. Like trauma center, performance measurement and improvement is a key component of trauma care system.
Trauma registry link population based injury data and pooled in system wide base National Trauma Data Bank. Institutional monthly performance trauma meeting with trauma mortality review and clinical audit will improve the compliance to local protocol. In addition, system of trauma care need to set clearly defined, evidence based and broadly accepted performance measure. The indicators include in patient survival shift to a new generation of indicators both feasible and potentially more useful of population based service. Over the past few years, approaches to measuring performance based on Donabedian’s framework of quality with model of performance in prehospital, hospital, posthospital and prevention in order to capture spectrum of care. Four broad attribute become the criteria for choosing quality indicators. Previously, the mortality was the main outcome, the mature trauma care system moving to non-mortality outcomes on individuals, family and friends, and society. Functional and Quality of Life have a higher priority with long term outcome measurement, that require key elements of successful registry. System performance with systemwide monitoring is essential. Indicators are best choose according to purpose including composite indicators and trauma system performance. Performance indicators are useful for internal improvement activities, external benchmarking, future investment and research.
Data collected in trauma registry need to be analyze and produce a set of standardized performance indicators that are meaningful. The trauma care system performance and outcome measure are needed for continuous quality improvement.
Lobby
Lecture Halls
Exhibition Halls
Abstract Gallery
Committees