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Optimizing the Care of Injured Children through Development and Utility of Benchmarking

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Optimizing the Care of Injured Children through Development and Utility of Benchmarking
Megan Strawhacker, RN1, Kristine Hansen, RN2, Summer Magoteaux, RN3, Kimberly Choppi, RN4, Elizabeth Vann, RN5, Stephen Fenton, MD2, David Notrica, MD3, Ramin Jamshidi, MD4, Steven Moulton, MD5, Denis Bensard, MD1, 1Denver Health Medical Center, Denver CO, 2Primary Children's Hospital, Salt Lake City UT, 3Phoenix Children's Hospital, Phoenix AZ, 4Maricopa Medical Center, Phoenix AZ, 5Children's Hospital Colorado, Aurora CO

Objective: A set of selected performance indicators relevant to pediatric trauma were developed as a benchmarking tool to evaluate quality of care and system processes in an ACS verified, regional level I pediatric trauma center and ACS verified combined adult level I / pediatric level II center. Meetings were conducted quarterly from 2012 through 2014 to compare data and identify opportunities for trauma center performance improvement. Analysis demonstrated similar results between centers over a two year period. Defined system and outcome targets with comparative review at specified intervals appear to result in process improvement likely through education, process change, and collaboration. Benchmarking is a requirement of the American College of Surgeon's as outlined in the Resources for the Optimal Care of Injured Patient 2014. This pilot project demonstrates that trauma centers can work together to define benchmarks that result in improved outcomes. The project has been expanded to include 3 level I pediatric trauma centers and 3 pediatric level II trauma centers in 4 states. Ongoing data analysis and review may permit validation of benchmarks, ensure consistency in care between level I / II centers, and identify opportunities for improvement from both clinical and system perspectives.Figures:

Objective: Learner will be able to discuss importance of collaboration between pediatric level I and level II facilities to define benchmarks that result in improved clinical and system outcomes.Objective Content: Benchmarking allows hospitals to compare quality of care and system processes using agreed upon standards. Collaboration between centers can improve trauma outcomes by identifying opportunities for improvement.


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