کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4285308 1611953 2016 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Assessment of trauma quality improvement activities at public hospitals in Thailand
ترجمه فارسی عنوان
ارزیابی فعالیت های بهبود تروما در بیمارستان های دولتی تایلند
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی


• 90% Thai public trauma centers have a trauma registry.
• Only 48% Thai public trauma centers reported using all four WHO TQIP elements.
• Barriers to implementing TQIPs are lack of interest and lack of time.
• Use of audit filters was the most frequently identified high priority TQIP activity.

BackgroundGiven the current exceptional burden of injury in Thailand, the proven efficacy of quality improvement programs, and the current scarcity of national-level information on trauma quality improvement program (TQIP) implementation in Thailand, we aimed to examine the use of TQIPs and barriers to TQIP adoption in Thai public trauma centers.MethodsWe distributed a survey to 110 public hospitals which are designated to provide trauma care in Thailand. The survey assessed the presence or absence of the four core elements of the World Health Organization (WHO) recommended TQIPs (morbidity and mortality (M&M) conferences, preventable death panels, trauma registries, and audit filters), and provider perception of barriers and priorities in TQIP implementation.ResultsResponses were received from 80 (72%) respondents. Seventy-two (90%) reported having a trauma registry and seventy (88%) respondents reported use of audit filters. Seventy (88%) respondents reported conducting regular M&M conferences, and 45 (56%) respondents reported the presence of preventable death panels. Thirty-eight (48%) respondents reported presence of all four elements of WHO TQIPs. The most commonly reported barriers to implementing TQIPs were lack of interest (55; 68%) and lack of time (39; 48%)to implement TQIPs. Audit filters were reported by only 25 (31%) of respondents and optimization of audit filters was the most frequently identified next-step in further development of TQIP.ConclusionsJust under half of responding Thai public trauma centers reported implementation of all four elements of the WHO recommended TQIPs. Priority strategies to facilitate TQIP maturation in Thailand should address staff motivation, provision of staff time for TQIP development, and optimization of audit filter use to monitor quality of care.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Surgery - Volume 33, Part A, September 2016, Pages 88–95
نویسندگان
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