Trauma Patient Outcome Evaluation
Trauma guidelines, policies, procedures and practice need to be aligned with the mission of the Ministry of Health to provide world class clinical services with timely access and effective infrastructure. The objective of this project is also central to the Agency for Clinical Innovation’s (ACI) core values and purpose as the leader in the health system for designing, evaluating and supporting implementation of innovative models of patient care, with a view to facilitate quality health care with effective use of resources where the outcomes exceed the expectations of our partners, patients and community.
During 2008, consideration of the most appropriate configuration of trauma services within NSW prompted a comprehensive review of the entire trauma system. The review resulted in the publication of the NSW Trauma Services Plan (2009).
The NSW Trauma Services Plan (2009) identified six major adult trauma services located at Liverpool, Royal Prince Alfred, Royal North Shore, St George, Westmead and John Hunter Hospitals. It also described defined networks, including regional hospitals that support the transfer of patients to the major trauma service and ideally back transfer for ongoing care and rehabilitation. Subsequent to the release of the NSW Trauma Services Plan (2009), St Vincent’s Hospital was approved in early 2010 as a Major Trauma Service bringing the total to seven. In addition to the seven adult major trauma services there are three paediatric major trauma services and ten designated regional trauma services within NSW Health.
The Trauma Patient Outcome Evaluation (TPOE) has been conducted in two stages.
Stage One: Focused on pre- and inter-hospital transfer protocols and in particular the Trauma 1 (T1) protocol.
Stage Two: Built on Stage One with a focus on the patient journey from time of trauma to discharge from hospital. Qualitative report available below.
In addition, as part of Stage Two of the TPOE, data linkage from the Critical care, Acute, Trauma and Emergency (CATE) Public Health Register, was used to examine system outcomes including length of stay, mortality, readmissions, ward movements, unplanned return to theatre and other relevant information where data is available. Summary report of the linked data analysis is available below.
For more information regarding the Trauma Patient Outcome Evaluation please contact:
Ms Christine Lassen - Manager ITIM