Creating a Comprehensive Trauma Center

Creating a Comprehensive Trauma Center

Author: Mary Beth Williams

Publisher: Springer Science & Business Media

Published: 2013-03-09

Total Pages: 456

ISBN-13: 1475733003

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Early Thoughts on Creating Comprehensive Trauma Centers This volume has been many years in writing. When Dr. Donald Meichenbaum first suggested it and I approached my coauthor Lasse Nurmi, it did not seem to be as formidable a task as it has become. Interviewing the centers in this book has taken years-to get responses, to summarize those responses, and to return the summaries for further comment. Many centers have been created in that time; others have suspended operation. This volume does not claim to present even a majority of those centers. However, the ones contained herein are representative of "what is out there. " The idea to create a comprehensive trauma center is not new. The initial section of this forward examines thoughts I proposed as part of my compre hensive examination for my doctorate. Many of the ideas proposed then (1989) seem to fit now. It is my dream to put them into practice someday in the future. THE COMPREHENSIVE EXAMINATION QUESTION In 1989, one question on the written comprehensive examination ques tions for my doctorate was, "If you were to create a comprehensive trauma center in your suburban area, making use of what you have learned in your [doctoral] experience, describe the organization of that center, the mission, structure, personnel, funding, objectives, and services it would offer. " Some of the conclusions reached then now seem applicable to the task at hand: design ing comprehensive trauma centers (CTCs) for the 21st century.


Book Synopsis Creating a Comprehensive Trauma Center by : Mary Beth Williams

Download or read book Creating a Comprehensive Trauma Center written by Mary Beth Williams and published by Springer Science & Business Media. This book was released on 2013-03-09 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt: Early Thoughts on Creating Comprehensive Trauma Centers This volume has been many years in writing. When Dr. Donald Meichenbaum first suggested it and I approached my coauthor Lasse Nurmi, it did not seem to be as formidable a task as it has become. Interviewing the centers in this book has taken years-to get responses, to summarize those responses, and to return the summaries for further comment. Many centers have been created in that time; others have suspended operation. This volume does not claim to present even a majority of those centers. However, the ones contained herein are representative of "what is out there. " The idea to create a comprehensive trauma center is not new. The initial section of this forward examines thoughts I proposed as part of my compre hensive examination for my doctorate. Many of the ideas proposed then (1989) seem to fit now. It is my dream to put them into practice someday in the future. THE COMPREHENSIVE EXAMINATION QUESTION In 1989, one question on the written comprehensive examination ques tions for my doctorate was, "If you were to create a comprehensive trauma center in your suburban area, making use of what you have learned in your [doctoral] experience, describe the organization of that center, the mission, structure, personnel, funding, objectives, and services it would offer. " Some of the conclusions reached then now seem applicable to the task at hand: design ing comprehensive trauma centers (CTCs) for the 21st century.


A National Trauma Care System

A National Trauma Care System

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2016-10-12

Total Pages: 531

ISBN-13: 0309442850

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Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.


Book Synopsis A National Trauma Care System by : National Academies of Sciences, Engineering, and Medicine

Download or read book A National Trauma Care System written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-10-12 with total page 531 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.


Reducing the Burden of Injury

Reducing the Burden of Injury

Author: Committee on Injury Prevention and Control

Publisher: National Academies Press

Published: 1999-01-04

Total Pages: 336

ISBN-13: 0309593468

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Injuries are the leading cause of death and disability among people under age 35 in the United States. Despite great strides in injury prevention over the decades, injuries result in 150,000 deaths, 2.6 million hospitalizations, and 36 million visits to the emergency room each year. Reducing the Burden of Injury describes the cost and magnitude of the injury problem in America and looks critically at the current response by the public and private sectors, including: Data and surveillance needs. Research priorities. Trauma care systems development. Infrastructure support, including training for injury professionals. Firearm safety. Coordination among federal agencies. The authors define the field of injury and establish boundaries for the field regarding intentional injuries. This book highlights the crosscutting nature of the injury field, identifies opportunities to leverage resources and expertise of the numerous parties involved, and discusses issues regarding leadership at the federal level.


Book Synopsis Reducing the Burden of Injury by : Committee on Injury Prevention and Control

Download or read book Reducing the Burden of Injury written by Committee on Injury Prevention and Control and published by National Academies Press. This book was released on 1999-01-04 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: Injuries are the leading cause of death and disability among people under age 35 in the United States. Despite great strides in injury prevention over the decades, injuries result in 150,000 deaths, 2.6 million hospitalizations, and 36 million visits to the emergency room each year. Reducing the Burden of Injury describes the cost and magnitude of the injury problem in America and looks critically at the current response by the public and private sectors, including: Data and surveillance needs. Research priorities. Trauma care systems development. Infrastructure support, including training for injury professionals. Firearm safety. Coordination among federal agencies. The authors define the field of injury and establish boundaries for the field regarding intentional injuries. This book highlights the crosscutting nature of the injury field, identifies opportunities to leverage resources and expertise of the numerous parties involved, and discusses issues regarding leadership at the federal level.


Resources for Optimal Care of the Injured Patient

Resources for Optimal Care of the Injured Patient

Author: American College of Surgeons. Committee on Trauma

Publisher:

Published: 1990

Total Pages: 90

ISBN-13:

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Book Synopsis Resources for Optimal Care of the Injured Patient by : American College of Surgeons. Committee on Trauma

Download or read book Resources for Optimal Care of the Injured Patient written by American College of Surgeons. Committee on Trauma and published by . This book was released on 1990 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt:


Trauma Centers

Trauma Centers

Author: Jeffrey S. Young

Publisher: Springer Nature

Published: 2020-01-27

Total Pages: 222

ISBN-13: 3030346072

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This book is a quick guide to the key components of trauma center administration, management, and patient care. This book provides essential information for hospitals working toward trauma center designation, and for established trauma centers who want to improve their performance. This book provides trauma center personnel with a comprehensive overview of trauma center administrative structure, basic clinical operations, performance improvement and site visit preparation and examines the most common critical injuries seen by trauma centers to demonstrate how a properly functioning center addresses multiple priorities in critically ill patients. This book provides critical information for hospitals looking toward becoming a trauma center and established trauma centers that wants to improve their performance.


Book Synopsis Trauma Centers by : Jeffrey S. Young

Download or read book Trauma Centers written by Jeffrey S. Young and published by Springer Nature. This book was released on 2020-01-27 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a quick guide to the key components of trauma center administration, management, and patient care. This book provides essential information for hospitals working toward trauma center designation, and for established trauma centers who want to improve their performance. This book provides trauma center personnel with a comprehensive overview of trauma center administrative structure, basic clinical operations, performance improvement and site visit preparation and examines the most common critical injuries seen by trauma centers to demonstrate how a properly functioning center addresses multiple priorities in critically ill patients. This book provides critical information for hospitals looking toward becoming a trauma center and established trauma centers that wants to improve their performance.


Trauma Care Systems

Trauma Care Systems

Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and the Environment

Publisher:

Published: 1989

Total Pages: 96

ISBN-13:

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Book Synopsis Trauma Care Systems by : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and the Environment

Download or read book Trauma Care Systems written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and the Environment and published by . This book was released on 1989 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt:


Hospital-based Injury and Violence Prevention Programs

Hospital-based Injury and Violence Prevention Programs

Author: Christy Adams

Publisher: Springer Nature

Published: 2023-01-16

Total Pages: 146

ISBN-13: 3031203577

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This book offers the first comprehensive insight into hospital-based injury and violence prevention programs and describes a public health approach for the integration of population-based injury prevention into trauma centers. This book meets the need for a public health informed approach, as a majority of hospital-based injury and violence prevention programs are positioned within hospital systems driven by patient-centered, acute care models. Significant variability in administration, staffing and reimbursement structures across trauma centers has historically hindered standardization of injury prevention program structure and the role of the injury prevention professional. Topics in the book include the history and development of hospital-based programs, the need and process for developing data-driven and evidence-based injury prevention interventions, building trauma center capacity for outreach through partnerships, developing prevention efforts using trauma-informed care approach, community based research and program evaluation, and the role of advocacy in injury and violence prevention. The multidisciplinary team of authors offers a collaborative approach to the implementation and development of Hospital-based Injury and Violence Prevention Programs which will serve acute care nurses, trauma program managers, hospital administrators, trauma surgeons, hospital-based injury prevention professionals, and local public health professionals.


Book Synopsis Hospital-based Injury and Violence Prevention Programs by : Christy Adams

Download or read book Hospital-based Injury and Violence Prevention Programs written by Christy Adams and published by Springer Nature. This book was released on 2023-01-16 with total page 146 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers the first comprehensive insight into hospital-based injury and violence prevention programs and describes a public health approach for the integration of population-based injury prevention into trauma centers. This book meets the need for a public health informed approach, as a majority of hospital-based injury and violence prevention programs are positioned within hospital systems driven by patient-centered, acute care models. Significant variability in administration, staffing and reimbursement structures across trauma centers has historically hindered standardization of injury prevention program structure and the role of the injury prevention professional. Topics in the book include the history and development of hospital-based programs, the need and process for developing data-driven and evidence-based injury prevention interventions, building trauma center capacity for outreach through partnerships, developing prevention efforts using trauma-informed care approach, community based research and program evaluation, and the role of advocacy in injury and violence prevention. The multidisciplinary team of authors offers a collaborative approach to the implementation and development of Hospital-based Injury and Violence Prevention Programs which will serve acute care nurses, trauma program managers, hospital administrators, trauma surgeons, hospital-based injury prevention professionals, and local public health professionals.


The Trauma Manual

The Trauma Manual

Author: Andrew B. Peitzman

Publisher: Lippincott Williams & Wilkins

Published: 2008

Total Pages: 828

ISBN-13: 9780781762755

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The thoroughly updated Third Edition of this popular and widely used pocket reference guides the trauma team through every aspect of patient care after injury and before, during, and after acute care surgery—from prehospital care, to resuscitation, treatment of specific organ injuries, priorities in intensive care, and management of special situations. Designed for rapid, on-the-spot information retrieval, this manual will be a staple reference in emergency departments and trauma centers. Flow charts, algorithms, sequential lists, and tables throughout facilitate quick clinical decision-making. More than 200 illustrations demonstrate specific injuries and procedures. Appendices include organ injury scales, tetanus prophylaxis recommendations, and frequently used forms.


Book Synopsis The Trauma Manual by : Andrew B. Peitzman

Download or read book The Trauma Manual written by Andrew B. Peitzman and published by Lippincott Williams & Wilkins. This book was released on 2008 with total page 828 pages. Available in PDF, EPUB and Kindle. Book excerpt: The thoroughly updated Third Edition of this popular and widely used pocket reference guides the trauma team through every aspect of patient care after injury and before, during, and after acute care surgery—from prehospital care, to resuscitation, treatment of specific organ injuries, priorities in intensive care, and management of special situations. Designed for rapid, on-the-spot information retrieval, this manual will be a staple reference in emergency departments and trauma centers. Flow charts, algorithms, sequential lists, and tables throughout facilitate quick clinical decision-making. More than 200 illustrations demonstrate specific injuries and procedures. Appendices include organ injury scales, tetanus prophylaxis recommendations, and frequently used forms.


Building a Trauma-Responsive Educational Practice

Building a Trauma-Responsive Educational Practice

Author: Em Daniels

Publisher: Routledge

Published: 2021-12-16

Total Pages: 138

ISBN-13: 1000482812

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This timely manual presents a new perspective on teaching and learning focused on countering the impacts of trauma on adults’ ability to learn. Within its detailed and useful approaches, Daniels provides a road map for building a trauma-responsive teaching practice grounded in the principles of Trauma-Informed Care, and emphasizing the need for educators to develop a rigorous practice of self-care. Prison classrooms, in particular, demonstrate the intersectional and overlapping nature of systemic, historical, and individual traumatic experience. People who rediscover themselves as learners while in corrections classrooms have a unique and powerful perspective to bring to the work of ending mass incarceration, and the role of education and learning in that ending. The concepts and framework presented in the text aim to expand how we define "working with trauma." Through this redefinition, we better align teaching and learning as counters to the impacts of trauma. As this alignment transforms educational philosophy and practice, we have an opportunity to repurpose the nature of education itself, and shift toward learning how to learn. Although this book contains content specific to corrections educators, or those aspiring to teach in prisons, its concepts and activities are applicable to any environment or situation in which adults need to learn. Adult educators, front-line personnel in any public service role, librarians, legal professionals, judges, lawyers—all can benefit from the expertise shared in this book.


Book Synopsis Building a Trauma-Responsive Educational Practice by : Em Daniels

Download or read book Building a Trauma-Responsive Educational Practice written by Em Daniels and published by Routledge. This book was released on 2021-12-16 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: This timely manual presents a new perspective on teaching and learning focused on countering the impacts of trauma on adults’ ability to learn. Within its detailed and useful approaches, Daniels provides a road map for building a trauma-responsive teaching practice grounded in the principles of Trauma-Informed Care, and emphasizing the need for educators to develop a rigorous practice of self-care. Prison classrooms, in particular, demonstrate the intersectional and overlapping nature of systemic, historical, and individual traumatic experience. People who rediscover themselves as learners while in corrections classrooms have a unique and powerful perspective to bring to the work of ending mass incarceration, and the role of education and learning in that ending. The concepts and framework presented in the text aim to expand how we define "working with trauma." Through this redefinition, we better align teaching and learning as counters to the impacts of trauma. As this alignment transforms educational philosophy and practice, we have an opportunity to repurpose the nature of education itself, and shift toward learning how to learn. Although this book contains content specific to corrections educators, or those aspiring to teach in prisons, its concepts and activities are applicable to any environment or situation in which adults need to learn. Adult educators, front-line personnel in any public service role, librarians, legal professionals, judges, lawyers—all can benefit from the expertise shared in this book.


Trauma Center Performance Improvement

Trauma Center Performance Improvement

Author: Jeffrey S. Young

Publisher: Springer Nature

Published: 2021-03-26

Total Pages: 141

ISBN-13: 3030710483

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Managing a trauma center involves complex clinical care, long nights and days, administrative work, self-examination, critical review of patient care and significant regulatory requirements. Performance improvement is the key element of trauma center effectiveness. No trauma center provides flawless care, thus all centers have opportunities to improve. A competent performance improvement program is critical to trauma center outcomes. This book provides key information on all aspects of trauma PI and program management. In some ways, PI is an art more than a science, so the more interaction program leaders have with strong PI programs, the more they can learn about how to improve their processes. The book outlines the generally accepted processes for identification of opportunities for improvement, which are the key component of performance improvement. This includes: rounding with care teams, contemporaneous chart review, audit filters, and voluntary submissions to the trauma program for review. This book explains how to triage opportunities for improvement, analyze them, form corrective actions, and finally achieve loop closure. The book covers the roles of the personnel in the PI program, what is required to dissect the opportunity to determine action plans, how to document the entire process, and how to keep track of opportunities for improvement to ensure that your program is progressively improving care. The final sections of the book deal with specific opportunities for improvement, action plans, and loop closure through the use of case studies. The book serves as a follow-up to Dr. Jeffrey Young’s recently published book Trauma Centers, which serves as a quick guide to the key components of trauma center administration, management, and patient care.


Book Synopsis Trauma Center Performance Improvement by : Jeffrey S. Young

Download or read book Trauma Center Performance Improvement written by Jeffrey S. Young and published by Springer Nature. This book was released on 2021-03-26 with total page 141 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managing a trauma center involves complex clinical care, long nights and days, administrative work, self-examination, critical review of patient care and significant regulatory requirements. Performance improvement is the key element of trauma center effectiveness. No trauma center provides flawless care, thus all centers have opportunities to improve. A competent performance improvement program is critical to trauma center outcomes. This book provides key information on all aspects of trauma PI and program management. In some ways, PI is an art more than a science, so the more interaction program leaders have with strong PI programs, the more they can learn about how to improve their processes. The book outlines the generally accepted processes for identification of opportunities for improvement, which are the key component of performance improvement. This includes: rounding with care teams, contemporaneous chart review, audit filters, and voluntary submissions to the trauma program for review. This book explains how to triage opportunities for improvement, analyze them, form corrective actions, and finally achieve loop closure. The book covers the roles of the personnel in the PI program, what is required to dissect the opportunity to determine action plans, how to document the entire process, and how to keep track of opportunities for improvement to ensure that your program is progressively improving care. The final sections of the book deal with specific opportunities for improvement, action plans, and loop closure through the use of case studies. The book serves as a follow-up to Dr. Jeffrey Young’s recently published book Trauma Centers, which serves as a quick guide to the key components of trauma center administration, management, and patient care.