Perceived impact of trauma audit filters on trauma care in a tertiary care hospital: a qualitative analysis

1st International Congress for Innovation in Global Surgery
ABSTRACT FIRST PRESENTED: 20.04.2022

doi: 10.52648/ICIGS.1000_4

Perceived impact of trauma audit filters on trauma care in a tertiary care hospital: a qualitative analysis

Jyothis Greeshma Abraham , Anurag Mishra
Maulana Azad Medical College, New Delhi, India

Trauma, external injury in combination with the body’s response, is a major threat to global population. Trauma care is time sensitive, early identification of fatal injuries and conditions are very essential for survival and care of the person. Quality of trauma care remains a big concern in LMICs. Trauma has also been recognised by SDG 3 and targets to reduce trauma burden.

We at Maulana Azad Medical College (MAMC), New Delhi conducted a survey in a hybrid setup (in-person, phone call) with Trauma Audit Board (TAB) members associated with another ongoing Project on Trauma Filters at MAMC.

AIM: To know, the creation of TAB has been useful or burden in patient, hospital management or with Physicians etc.

Composition of TAB- Medical Director of the hospital, Heads of Emergency, Anaesthesia, Radiology, Orthopaedics, Surgery etc., and Investigators associated with the project.

Method of Survey:
A semi-quantitative questionnaire to record their feedback and impression via means using hybrid setup as per the clinician’s convenience, about TAB and their opinion about such audit board meetings, it’s impact on Trauma Care and other hospital-based problems.

Link to questionnaire:
https://docs.google.com/forms/d/e/1FAIpQLSdx8qT6LKZVYTbogCbBcRGRN8rK0lpcZ0-126C0Cus-Fw6twg/viewform?usp=sf_link

Results:
Each clinician associated with project was 3.81 years. Only the MD of the hospital changed after his tenure of 2 years. Board was intact since its inception from 2017.

Clinicians noted a mean average of 7.27 on a scale of 1 to 10, after the implementation of TAB meetings.

To exemplify the scale, 2-3 popular responses as follows:
• Monitoring of Vitals like GCS, Respiratory rate, Blood pressure were noted which were earlier missed.
• Ultrasound machines were setup near patient bedside in Casualty.
• Trauma patients were managed in a more systematic way without wastage of time in inter departmental referrals.
• More responsible, more vigilant and aware as data were recorded and cases were studied in audit meetings

Other than trauma care an impact was seen in overall hospital functioning with inter-departmental co-ordination, more productivity in patient management were seen even during Covid waves with easy referrals with just an update on WhatsApp group which were initially created for the board meetings.
Many Clinicians even realised an impact on themselves with change in behavioural, attitudinal and inter-personnel skills, with such meetings they could learn from cases and functioning of other departments which would otherwise be missed. On a scale ranging from 1 to 10 when asked about how much of a burden it was attending TAB meetings on an average only 2.36% of a burden on a monthly basis which is quite negligible, as more clinicians looked upon learning more things for better patient care. Recommendation to other Institutes about such TAB meetings was a definite Yes.

Conclusion:
Findings suggest a significant difference in healthcare management in the hospital.
Results and opinions suggest such meetings should be more periodically conducted and should be recognised as part of Hospital standardization.

Keywords: Trauma, Audits, Trauma Audit Board, Positive and negative impact

Inaugural Speech: Surgery in the face of low resources


Use of autologous platelet rich fibrin in minimally invasive treatment of perianal abscess


Machine Learning based mortality prediction model for COVID-19 patients admitted in a tertiary care hospital, New Delhi.


Perceived impact of trauma audit filters on trauma care in a tertiary care hospital: a qualitative analysis


An innovative surgical method to operate the zygomatico-maxillary-orbital complex in the absence of intraoperative computer tomography or intraoperative navigation using novel zygoma analysis and virtual surgical planning software


Carica papaya fruit in the management of chronic non healing ulcer wounds


The Buddy System: An initiative to slow down the antibiotic misuse


SOCH – India (Students’ Orbit for Collaborative Healthcare – India)


Need of an Autopsy Kit in resource limited settings


Device for non-invasive detection of meconium stained amniotic fluid


A Novel Stethoscope In COVID 19 Times


Explainable AI decision model for ECG data of cardiac disorders


Satyanveshi: A New Age Mentorship Program in Medical School


Predict Easy :Pre-eclampsia Risk Stratification Tool


SutureSure-A multifunctional laparoscopic device for simple and effortless minimally invasive surgeries


RI2 -Retract, Isolate, and Illuminate: 3 in 1 Affordable solution for effective Community Dental Program


A new approach to stoma management


Neonatal care platform to facilitate the practice of delayed cord clamping


Urine congophilia dipstick test for preeclampsia screening in resource limited settings


Lap-Pack: a low fidelity laparoscopic box trainer


DOST


Innovative multi-modality segmentation and 3d fusion in the management of giant abdominopelvic chondrosarcoma


Malunited lateral tibial plateau fracture managed by intra-articular osteotomy with help of 3D printing


SurgiPod -The Smallest Portable Modular OT


Doctors On Community Service -An attempt to shift focus from Classroom to Community among medical students


Automatic Uterine Incision closure device


Aerosol Evacuation Funnel


OsteQuant -A comprehensive bone age and bone health estimation tool


Efficacy of local application of colistimethate sodium in non-healing wounds infected by multidrug resistant bacteria


D-Cleft


MeeT: A Platform for Innovation


The Metaverse as a platform for education and training within medicine and surgery


An inexpensive surgical glove bag for gall bladder retrieval during laproscopic cholecystectomy


Frugal indigenous methods for chest tube insertion and venesection


Digital videoproctoscopy: a new diagnostic test in proctology


Identifying palliative care needs for tribal-rural populations


Training 750 General surgeons in this decade for district hospitals in Kenya


Feasibility of the frugally-engineered ‘LeVe CPAP’ from pilot data in healthy volunteers at Mengo Hospital, Uganda; with potential for use in patients with acute hypoxaemic respiratory failure associated with COVID-19 and other respiratory illnesses


The RAIS device for low-resource laparoscopic surgery: development, evaluation and future perspectives


Introduction of WALANT in Kenya: An innovative method to alleviate poverty


Condition monitoring of Ilizarov frames using vibration sensors


The Impact of Gurukool on College Students, Residents, Faculties, and Campus life in a Medical College of New Delhi


Efficacy of Platelet-Rich Plasma in Reduction of Post-Operative Split-Thickness Skin Graft Loss and Hematoma Formation: A Meta-Analysis


Spontaneous common bile duct perforation presenting as extrahepatic bilioma: a rare clinical presentation of gall stone disease


External Fixation in Polytrauma Patients from Low and Middle Income Countries – A Case Report


Lumbar Disc Degeneration, A Transdifferentiation Process-An Electron Microscopic Observation


Designing Global Surgical Technology: Benefits of a Participatory Design Approach for the Surgeon


Music as an adjunct cost-effective therapeutic innovation for Management of Pain in Trauma Patients: A Systematic Review and Meta-analysis


System Innovation in Laparoscopic Simulation Training for intra-corporeal tissue re-approximation, knot tying and suturing technologies


Reverse Innovation in Healthcare from India


Expressed breast milk: Awareness and opinion on storage and utilization among mothers in tertiary health care center, Belagavi


A New Innovation in Yogasan (A new Yogasan for quick relief of tension and sleeplessness)


A Comparative Study of Ripasa Scoring System and Ultrasonography in the Clinical diagnosis of the Acute Appendicitis in Resource Limited Settings