Trauma Audit for Hospital Care Improvement at Khon Kaen Hospital

Abstract

               Trauma management system is complicated and critical. Many stations must be involved in the system. Any pitfall that happens in any station of the management system may result in mortality or serious morbidity. In order to enhance the quality of care of trauma patients, Khon Kaen Hospital has set up "Trauma audit for hospital care improvement project" to establish a system of monitoring the quality of trauma care and build up the trauma audit filter as a hospital guideline for management of trauma patients.

                The system for grading the severity of injury had been set up by TRISS methodology in our trauma registration system. The outcome and pitfalls of trauma management had been analyzed 6 months period before and after the implementation of hospital trauma audit filter.

                After the implementation of the trauma audit filter, the preventable death rate had been decreased from 3.2 to 2.7 per cent and the pitfall in the management and factor contribute to mortality had been decreased from 407 points to 301 points and 265 points to 217 points respectively.

                This project had created a standard model to evaluate the quality of trauma care. It had also given a set of knowledge about the pitfall in the management of traumatic patients with was the valuable information to set up the trauma audit filter for trauma care. The usage of this filter resulted in better quality of care.