Association between level of hospital care and specific opportunities for improvement in adult trauma patients
This repository includes the documents and code for the research project on the association between level of hospital care and specific opportunities for improvement in adult trauma patients.
Trauma - physical injury and the body’s associated response - is a major cause of death and disability worldwide. Every year, over four million people die from trauma, and it is the top cause of burden of disease in young people. Trauma quality improvement programmes aim to identify opportunities for improvement in the care of trauma patients, and to implement changes to improve patient outcomes. Trauma patients are managed at all levels of hospital care, from the emergency department to the ward and the intensive care unit. Previous research has shown that the level of hospital care is associated with opportunities for improvement overall, but it is not known how specific opportunities for improvement differ between levels of hospital care.
This study aims to identify the association between the level of hospital care and specific opportunities for improvement in adult trauma patients.
This is a registry based cohort study using data from the trauma registry and trauma care quality database at the Karolinska University Hospital in Solna. The trauma registry includes about 14000 patients treated between 2012 and 2023. The trauma care quality database is a subset of the trauma registry and includes about 8000 patients selected for review between 2014 and 2023. The outcome is specific opportunities for improvement, such as delayed management or technical errors, as identified by a multidisciplinary trauma quality improvement review board and recorded in the trauma care quality database. This project will link the two databases and assess what types of OFI occurred in patients managed at and how they differed between different levels of hospital care. A 5% significance level and 95% confidence levels will be used.