TRAUMA QUALITY IMPROVEMENT

Enhancing patient safety in trauma

Understanding adverse events, assessment tools, and the role of trauma video review

Understanding adverse events, assessment tools, and the role of trauma video review

Understanding adverse events, assessment tools, and the role of trauma video review

Published on

April 26, 2024

American Journal of Surgery

Anisa Nazir, Eliane M Shore, Charles Keown-Stoneman, Teodor Grantcharov, Brodie Nolan
Anisa Nazir, Eliane M Shore, Charles Keown-Stoneman, Teodor Grantcharov, Brodie Nolan
Anisa Nazir, Eliane M Shore, Charles Keown-Stoneman, Teodor Grantcharov, Brodie Nolan

Overview

This narrative review investigated adverse events (AEs) in trauma resuscitation, their contributing factors, and methods to mitigate them, with a focus on trauma video review (TVR) using the Trauma Black Box®. The study explored various assessment tools and strategies for identifying and analyzing AEs within trauma care systems, which have been shown to significantly reduce mortality rates and improve post-injury outcomes. Specifically, the review highlighted the effectiveness of tools such as STAT Taxonomy and T-NOTECHs in enhancing AE identification and trauma team assessment. 

The review found that TVR, when integrated with standardized tools, shows promise as a valuable method for improving trauma team performance, detecting AEs, and enhancing patient safety. This integration offers promising avenues for real-time AE quantification. However, challenges remain in ensuring consistent reporting and incorporating new approaches into existing protocols. The study concludes by emphasizing the need for future research to address these challenges, focus on connecting trauma team performance with patient outcomes, and develop sustainable TVR programs to further enhance trauma care and patient safety. 

Results

Integrated with standardized tools, TVR shows promise for identifying AEs. Additionally, trauma systems significantly reduce mortality rates and improve post-injury outcomes. Challenges include ensuring reporting consistency and integrating approaches into existing protocols. Future research should prioritize linking trauma team performance to patient outcomes and develop sustainable TVR programs to enhance patient safety. 

Copyright. All Rights Reserved 2024
Copyright. All Rights Reserved 2024
Copyright. All Rights Reserved 2024