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Trauma System

Performance Improvement

Main Page Trauma Centers Performance Improvement Resources

Utah's Trauma Performance Improvement/Patient Safety Project

In 2007, the Bureau engaged in a two year study of preventable mortality in Utah. All injury deaths occurring in 2005 in Utah were analyzed by a review panel of doctors, nurses, and EMS personnel. The review panel examined case records for each patient during each phase of care (prehospital, emergency department, inpatient) to determine whether the care the patient received was optimal and to identify opportunities for improvement in that care. The results of the study were published in the Journal of Trauma as "Analysis of Preventable Trauma Deaths and Opportunities for Trauma Care Improvement in Utah."

Based on the recommendations of the review panel, the Trauma System Advisory Committee (TSAC) focused its statewide trauma Performance Improvement/Patient Safety (PI/PS) efforts on updating the clinical practice of fluid resuscitation in trauma patients to current evidence-based practice. This clinical module was first presented in August 2011 at the Rural EMS Leadership Conference in Torrey, Utah.

Next steps in the Performance Improvement project include organizing the state into trauma "regions of performance excellence" for the purpose of implementing regional PI/PS between hospitals and EMS agencies. The map below outlines the designated regions based on analysis of EMS/hospital referral patterns and existing hospital preparedness regions.

Trauma System Regions
Trauma system regions

The overall goal of the Performance Improvement initiative is to engage providers across the continuum of prehospital EMS care, emergency department care, and hospital care in a performance improvement and patient safety effort. Fluid resuscitation is a beginning focus area with others to come. Additionally, region and state-based feedback will be provided on system measures for use in improvement activities.

Questions? Contact Shari Hunsaker at sharihunsaker@utah.gov or 801-273-6667.

Updated April 05, 2013