Acute Care

Development and Validation of Trauma System Audit Filters

Principal Investigator: Melissa Schiff, M.D., Ph.D., and Avery Nathens, M.D., Ph.D., M.P.H.
University of Washington Department of Epidemiology
Funding Source: Centers for Disease Control and Prevention (HIPRC Center Grant)

The rationale of any trauma system is to provide a coordinated, predictable and multidisciplinary approach to managing the injured patient. To operate effectively and efficiently, a trauma system must undergo monitoring, evaluation and improvement as defined by performance improvement (PI). While the American College of Surgeons audit filters were developed as standards of care for trauma patients that have focused on PI in individual trauma centers, none of the filters were designed to monitor the trauma system as a whole. The investigators hypothesize that a set of audit filters that evaluate the trauma system can be identified, and that these filters will be sensitive to identifying deviations in the integrated function of the trauma system and will optimize patient outcomes as defined by mortality, morbidity and resource utilization. The development and validation of these trauma filters will provide quality improvement measures by which trauma systems and trauma care can be evaluated in the future.