Classification of trauma-related preventable death; protocol of a Delphi procedure.

Autor: Hakkenbrak NAG; Trauma Unit, Department of Surgery, Amsterdam University Medical Centre, Amsterdam, The Netherlands.; Trauma Unit, Department of Surgery, Northwest Clinics, Alkmaar, The Netherlands., Harmsen AMK; Trauma Unit, Department of Surgery, Amsterdam University Medical Centre, Amsterdam, The Netherlands., Zuidema WP; Trauma Unit, Department of Surgery, Amsterdam University Medical Centre, Amsterdam, The Netherlands., Reijnders UJL; Department of Forensic Medicine, Public Health Service of Amsterdam, Amsterdam, The Netherlands., Schober P; Department of Anesthesiology, Amsterdam University Medical Centre, Amsterdam, The Netherlands., Bloemers FW; Trauma Unit, Department of Surgery, Amsterdam University Medical Centre, Amsterdam, The Netherlands.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2024 May 06; Vol. 19 (5), pp. e0298692. Date of Electronic Publication: 2024 May 06 (Print Publication: 2024).
DOI: 10.1371/journal.pone.0298692
Abstrakt: Background: Trauma-related (preventable) death is used to evaluate the management and quality of trauma care worldwide. Therefore, it is necessary to identify fatalities in the trauma care population and assess them on preventability. However, the definition on trauma-related preventable death lacks validity due to differences in terminology and classifications. This study aims to reach consensus on the definition of trauma-related preventable death by performing a Delphi procedure, thereby, improving the assessment of trauma-related preventable death and thereby enhancing the quality of trauma care.
Methods: Based on the results of a recently performed systematic review Hakkenbrak (2021). The definitions used to describe trauma-related preventable death could be divided into four categories: 1) Clinical definition based on panel review or expert opinion, 2) Trauma prediction algorithm, 3) Clinical definition with an additional trauma prediction algorithm and 4) Others (e.g., errors in care or detailed clinical definition). A three round, electronic Delphi study will be performed in the Netherlands to reach consensus. Experts from the department of Trauma surgery, Neurosurgery, Forensic medicine, Anaesthesiology and Emergency medicine, of the designated Level 1 trauma centres in the Netherlands, will be invited to participate. In the first round the panel will comment on the composed categories and trauma prediction algorithms. In the second and third round a feedback report will be presented and the questions with disagreement will be retested.
Discussion: The identification and assessment of trauma-related preventable death is necessary to evaluate and improve trauma care. Therefore, a valid, fair, and applicable definition of trauma-related preventable death is required. The Delphi technique is utilized to reach group consensus to obtain a scientifically valid definition of trauma-related preventable death.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Hakkenbrak et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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