Trauma team activation varies across Dutch emergency departments: a national survey

Rolf Egberink, Harm-Jan Otten, Maarten Joost IJzerman, Arie B. van Vugt, Catharina Jacoba Maria Doggen

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6 Citations (Scopus)
52 Downloads (Pure)

Abstract

Background Tiered trauma team response may contribute to efficient in-hospital trauma triage by reducing the amount of resources required and by improving health outcomes. This study evaluates current practice of trauma team activation (TTA) in Dutch emergency departments (EDs). Methods A survey was conducted among managers of all 102 EDs in the Netherlands, using a semi-structured online questionnaire. Results Seventy-two questionnaires were analysed. Most EDs use a one-team system (68 %). EDs with a tiered-response receive more multi trauma patients (p < 0.01) and have more trauma team alerts per year (p < 0.05) than one-team EDs. The number of trauma team members varies from three to 16 professionals. The ED nurse usually receives the pre-notification (97 %), whereas the decision to activate a team is made by an ED nurse (46 %), ED physician (30 %), by multiple professionals (20 %) or other (4 %). Information in the pre-notification mostly used for trauma team activation are Airway-Breathing-Circulation (87 %), Glasgow Coma Score (90 %), and Revised Trauma Score (85 %) or Paediatric Trauma Score (86 %). However, this information is only available for 75 % of the patients or less. Only 56 % of the respondents were satisfied with their current in-hospital trauma triage system. Conclusions Trauma team activation varies across Dutch EDs and there is room for improvement in the trauma triage system used, size of the teams and the professionals involved. More direct communication and more uniform criteria could be used to efficiently and safely activate a specific trauma team. Therefore, the implementation of a revised national consensus guideline is recommended
Original languageEnglish
Pages (from-to)100-
JournalScandinavian journal of trauma, resuscitation & emergency medicine
Volume23
Issue number1
DOIs
Publication statusPublished - 2015

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Hospital Emergency Service
Wounds and Injuries
Triage
Surveys and Questionnaires
Nurses
Coma
Netherlands
Consensus
Respiration
Communication
Guidelines
Pediatrics
Physicians
Health

Keywords

  • METIS-313099
  • IR-98036

Cite this

@article{9e8ef123cb10487ab58d8839917874be,
title = "Trauma team activation varies across Dutch emergency departments: a national survey",
abstract = "Background Tiered trauma team response may contribute to efficient in-hospital trauma triage by reducing the amount of resources required and by improving health outcomes. This study evaluates current practice of trauma team activation (TTA) in Dutch emergency departments (EDs). Methods A survey was conducted among managers of all 102 EDs in the Netherlands, using a semi-structured online questionnaire. Results Seventy-two questionnaires were analysed. Most EDs use a one-team system (68 {\%}). EDs with a tiered-response receive more multi trauma patients (p < 0.01) and have more trauma team alerts per year (p < 0.05) than one-team EDs. The number of trauma team members varies from three to 16 professionals. The ED nurse usually receives the pre-notification (97 {\%}), whereas the decision to activate a team is made by an ED nurse (46 {\%}), ED physician (30 {\%}), by multiple professionals (20 {\%}) or other (4 {\%}). Information in the pre-notification mostly used for trauma team activation are Airway-Breathing-Circulation (87 {\%}), Glasgow Coma Score (90 {\%}), and Revised Trauma Score (85 {\%}) or Paediatric Trauma Score (86 {\%}). However, this information is only available for 75 {\%} of the patients or less. Only 56 {\%} of the respondents were satisfied with their current in-hospital trauma triage system. Conclusions Trauma team activation varies across Dutch EDs and there is room for improvement in the trauma triage system used, size of the teams and the professionals involved. More direct communication and more uniform criteria could be used to efficiently and safely activate a specific trauma team. Therefore, the implementation of a revised national consensus guideline is recommended",
keywords = "METIS-313099, IR-98036",
author = "Rolf Egberink and Harm-Jan Otten and IJzerman, {Maarten Joost} and {van Vugt}, {Arie B.} and Doggen, {Catharina Jacoba Maria}",
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Trauma team activation varies across Dutch emergency departments: a national survey. / Egberink, Rolf; Otten, Harm-Jan; IJzerman, Maarten Joost; van Vugt, Arie B.; Doggen, Catharina Jacoba Maria.

In: Scandinavian journal of trauma, resuscitation & emergency medicine, Vol. 23, No. 1, 2015, p. 100-.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Trauma team activation varies across Dutch emergency departments: a national survey

AU - Egberink, Rolf

AU - Otten, Harm-Jan

AU - IJzerman, Maarten Joost

AU - van Vugt, Arie B.

AU - Doggen, Catharina Jacoba Maria

N1 - Open access

PY - 2015

Y1 - 2015

N2 - Background Tiered trauma team response may contribute to efficient in-hospital trauma triage by reducing the amount of resources required and by improving health outcomes. This study evaluates current practice of trauma team activation (TTA) in Dutch emergency departments (EDs). Methods A survey was conducted among managers of all 102 EDs in the Netherlands, using a semi-structured online questionnaire. Results Seventy-two questionnaires were analysed. Most EDs use a one-team system (68 %). EDs with a tiered-response receive more multi trauma patients (p < 0.01) and have more trauma team alerts per year (p < 0.05) than one-team EDs. The number of trauma team members varies from three to 16 professionals. The ED nurse usually receives the pre-notification (97 %), whereas the decision to activate a team is made by an ED nurse (46 %), ED physician (30 %), by multiple professionals (20 %) or other (4 %). Information in the pre-notification mostly used for trauma team activation are Airway-Breathing-Circulation (87 %), Glasgow Coma Score (90 %), and Revised Trauma Score (85 %) or Paediatric Trauma Score (86 %). However, this information is only available for 75 % of the patients or less. Only 56 % of the respondents were satisfied with their current in-hospital trauma triage system. Conclusions Trauma team activation varies across Dutch EDs and there is room for improvement in the trauma triage system used, size of the teams and the professionals involved. More direct communication and more uniform criteria could be used to efficiently and safely activate a specific trauma team. Therefore, the implementation of a revised national consensus guideline is recommended

AB - Background Tiered trauma team response may contribute to efficient in-hospital trauma triage by reducing the amount of resources required and by improving health outcomes. This study evaluates current practice of trauma team activation (TTA) in Dutch emergency departments (EDs). Methods A survey was conducted among managers of all 102 EDs in the Netherlands, using a semi-structured online questionnaire. Results Seventy-two questionnaires were analysed. Most EDs use a one-team system (68 %). EDs with a tiered-response receive more multi trauma patients (p < 0.01) and have more trauma team alerts per year (p < 0.05) than one-team EDs. The number of trauma team members varies from three to 16 professionals. The ED nurse usually receives the pre-notification (97 %), whereas the decision to activate a team is made by an ED nurse (46 %), ED physician (30 %), by multiple professionals (20 %) or other (4 %). Information in the pre-notification mostly used for trauma team activation are Airway-Breathing-Circulation (87 %), Glasgow Coma Score (90 %), and Revised Trauma Score (85 %) or Paediatric Trauma Score (86 %). However, this information is only available for 75 % of the patients or less. Only 56 % of the respondents were satisfied with their current in-hospital trauma triage system. Conclusions Trauma team activation varies across Dutch EDs and there is room for improvement in the trauma triage system used, size of the teams and the professionals involved. More direct communication and more uniform criteria could be used to efficiently and safely activate a specific trauma team. Therefore, the implementation of a revised national consensus guideline is recommended

KW - METIS-313099

KW - IR-98036

U2 - 10.1186/s13049-015-0185-0

DO - 10.1186/s13049-015-0185-0

M3 - Article

VL - 23

SP - 100-

JO - Scandinavian journal of trauma, resuscitation & emergency medicine

JF - Scandinavian journal of trauma, resuscitation & emergency medicine

SN - 1757-7241

IS - 1

ER -