NORTH CAROLINA TRAUMA SYSTEM  
   
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Trauma Performance Improvement

Trauma Performance Improvement can be described in its simplest form as a method by which the delivery of care and the system that supports its delivery remain continually monitored, evaluated and improved. This process ensures the various elements of the trauma system are, in fact, operating in an organized, coordinated manner that improves overall outcomes from traumatic injury. Throughout the Metrolina region the MTAC prioritizes regional performance improvement through daily collaboration and dialogue with its member facilities and EMS agencies.

Performance Improvement Guidelines for North Carolina Trauma Centers describe projected benefits in developing a regional performance improvement strategy:

  • Reduction in variations of care through standardization of processes
  • Improvement in efficacy, access and timeliness to definitive care
  • Ensuring competent & current providers
  • Ensuring effective and appropriate utilization of trauma systems and associated resources
  • Identifying consistent mechanisms for reporting issues
  • Identifying areas of improvement and effective process management
Community Hospital Audit Filters Monitored Purpose
100% Traumatic Deaths Care appropriateness
ED Length of stay (LOS) > 90 minutes Care appropriateness
   • Delay in transfer
Non trauma center ICU admission Triage appropriateness
Blood product administration Resuscitation appropriateness
   • Meets ATLS guideline

EMS Audit Filters Monitored Purpose
100 % Traumatic Deaths Care appropriateness
Air Medical Utilization Utilization appropriateness
   • Meets Air Medical Triage Criteria
Attempted Intubations Care appropriateness
   • RSI – Monitor via RSI audit tool
Triaged direct to trauma center Triage appropriateness