TRAUMA QUALITY IMPROVEMENT
Trauma video review analysis: Increased provider movement impedes trauma team performance
Published on
Feb 1, 2025
American Journal of Surgery
Bahaa Succara; Nicole Lunardia; Kaustubh Gopala; Macy Afsaria; Madhuri B. Nagaraja; Herbert J. Zeh, III; Ryan P. Dumas
Overview
The study identified 77 trauma activations, with 40 %(n = 32/77) penetrating injuries. There was a median of 17[14–18] individuals at the start of trauma activations. During resuscitations, individuals entered the room a median of 12[8–18] times and exited the room 17[11–22] times. The median TOR was 8[6–10] min and the median T-NOTECHS was 7[6–8]. Regression analysis showed foot traffic was independently associated with increased TOR(β 0.34, p-value <0.01) and worse total T-NOTECHS score(β 0.06, p < 0.01).
Results
This prospective study conducted at a Level-I trauma center examined how personnel movement affects trauma team performance and resuscitation time through video review of 77 trauma activations. The researchers found that during typical resuscitations, which started with a median of 17 people present, staff members entered and exited the room frequently (median 12 entries and 17 exits). Analysis revealed that increased foot traffic was significantly associated with both longer resuscitation times and lower scores on the T-NOTECHS scale, suggesting that excessive personnel movement may negatively impact trauma team performance and efficiency. The findings highlight the need to investigate additional factors that could affect trauma team performance metrics.
Peer-reviewed Research
