JULY 2003
Volume 27 No. 7

Emergency department expansion, renovation will enhance care

Leadership, teamwork pay off in successful trauma survey

Trauma program QI projects

Results of statewide hospital survey provide benchmarking data

New rules limiting residents' work hours will require increased efficiency

Lawyer and medical ethicist helps physicians, families navigate ethical dilemmas


Trauma program QI projects

Several quality-improvement projects were developed by the trauma program's faculty and staff, with assistance from SHC quality managers, including projects that accomplished the following:

Developed and implemented evidence-based guidelines specifying under what conditions the cervical spine should undergo X-ray or CT studies. The use of these diagnostic procedures was previously inconsistent.

Established a research-based protocol whereby patients with traumatic brain injury are given low-dose subcutaneous anti-coagulants to prevent the development of deep vein thrombosis.

Improved the documented response time of on-call physicians when paged to the hospital for a trauma case. The documented response time for on-call physician arrival at the hospital within 15 minutes of being paged, increased to 95 percent from less than 40 percent.

Added to the trauma response team a pediatric pharmacist who now checks and advises on appropriate medication dosing for pediatric major trauma patients.

Established an early intervention protocol whereby traumatic brain injury patients with a high likelihood of taking anti-coagulants have their blood tested, and are then treated with blood plasma and other medications if anti-coagulants are present.