TRAUMA QUALITY IMPROVEMENT

Roll the Tape: Implementing and Harnessing the Power of Trauma Video Review

Published on

September 10, 2022

Journal of Surgical Education

Ryan P Dumas, Caitlin Cook, Daniel N Holena, Yanjie Qi, Nora Tabone, Spencer L Studwell, Aekta Miglani, Michael A Vella
Ryan P Dumas, Caitlin Cook, Daniel N Holena, Yanjie Qi, Nora Tabone, Spencer L Studwell, Aekta Miglani, Michael A Vella
Ryan P Dumas, Caitlin Cook, Daniel N Holena, Yanjie Qi, Nora Tabone, Spencer L Studwell, Aekta Miglani, Michael A Vella

Overview

The article discusses the implementation and benefits of a Trauma Video Review (TVR) program at trauma centers. TVR involves continuously recording trauma resuscitations for later review and analysis. The authors outline the key steps in implementing a TVR program, including addressing medicolegal and consent concerns, securing funding, installing equipment, and maintaining the program over time.

The article highlights how TVR can be effectively integrated into resident education, particularly for teaching non-technical skills like leadership, communication, and situational awareness. The authors describe a novel coaching program where residents review their own trauma resuscitation videos with faculty and receive feedback using a validated assessment tool (T-NOTECHS). They also discuss how TVR can be leveraged to assess residents' progress towards ACGME milestones and entrustable professional activities (EPAs). Overall, the article demonstrates how TVR can enhance trauma education, quality improvement, and patient safety.

Results

TVR programs have been successfully implemented at many trauma centers, with the key steps including addressing medicolegal and consent concerns, securing funding, installing equipment, and maintaining the program. The authors highlight how TVR can be effectively integrated into resident education, particularly for teaching non-technical skills like leadership and communication. They describe a coaching program where residents review their own resuscitation videos with faculty using a validated assessment tool (T-NOTECHS) to receive feedback. The article also discusses leveraging TVR to assess residents' progress towards ACGME milestones and entrustable professional activities.