What happens in the shock room stays in the shock room? A time-based audio/video audit framework for trauma team performance analysis

• Published in: European journal of emergency medicine Vol. 27; no. 2; p. 121
• Main Authors: Aukstakalnis, Vytautas, Dambrauskas, Zilvinas, Stasaitis, Kestutis, Darginavicius, Linas, Dobozinskas, Paulius, Jasinskas, Nedas, Vaitkaitis, Dinas
• Format: Journal Article
• Language: English
• Published: England 01.04.2020
• Subjects: Female; Humans; Inservice Training - organization & administration; Interprofessional Relations; Male; Patient Care Team - organization & administration; Professional Competence; Resuscitation - standards; Trauma Centers - organization & administration; Video Recording - statistics & numerical data
• ISSN: 1473-5695
• DOI: 10.1097/MEJ.0000000000000627

A precise tool for analysis of trauma team performance is missing. To create a framework for trauma team performance analysis and feedback. An observational study in a level I trauma centre in Lithuania was performed from January 1 2017 to August 31 2017. Audio/video review process was used to evaluate technical and nontechnical performance of the trauma team. In total, 143 trauma team activations were analysed. The mean rate of completion for the primary survey based on Advanced Trauma Life Support principles was 68.5%. Technical steps of patient resuscitation were measured in seconds during first hour of the treatment. The T-NOTECHS scale mean score was 11.99 (SD 2.9). During the study period, we were able to measure the time needed for certain steps in trauma patient evaluation and management. Based on this analysis, a performance improvement program will be devised, including the HybridLab medical simulation, audio/video debriefing, and individualised feedback sessions.