The Trauma Quality Improvement Program of the American College of Surgeons Committee on Trauma
The Trauma Quality Improvement Program of the American College of Surgeons Committee on Trauma
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DOI：
10.1016/j.jamcollsurg.2009.07.001
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发表时间：
2009-10-01
影响因子：
5.2
通讯作者：
Fildes, John J.
中科院分区：
文献类型：
--
作者：
Shafi, Shahid;Nathens, Avery B.;Fildes, John J.
美国外科医生学会创伤委员会（COT）致力于提高80多年来为受伤者提供的护理质量。其成就包括高级创伤生命支持计划，创伤中心验证计划，创伤系统开发，性能改进和国家创伤数据库（NTDB）。2006年10月，COT开始实施创伤质量改进计划（TQIP），作为提高创伤护理质量的下一个范例。TQIP小组的任务是“设计和测试一个经过验证、风险调整和基于结果的创伤质量改进计划，以衡量和提高创伤护理的质量。”在下面的章节中，我们总结了该计划的现状及其在全国推广的未来计划。创伤性能改进的演变COT自成立以来一直处于性能改进的前沿。创伤是第一个通过建立专门的创伤中心来发展区域化护理系统并系统地衡量这些中心的医疗保健结果的医学专业。1认识到传统上使用的同行评议论坛的局限性，以提高护理质量的复杂领域的创伤护理，COT促进了“系统的方法”，以提高护理质量。这种方法是基于经典的原则，
The Committee on Trauma (COT) of the American College of Surgeons has been dedicated to improving the quality of care provided to the injured for more than eight decades. Its accomplishments include the Advanced Trauma Life Support program, trauma center verification program, trauma systems development, performance improvement, and the National Trauma Data Bank (NTDB). In October 2006, the COT embarked upon the Trauma Quality Improvement Program (TQIP) as the next paradigm in improving the quality of care in trauma. The TQIP group was charged with the mandate to “design and test a trauma quality improvement program that is validated, risk-adjusted, and outcomes based, to measure and improve the quality of trauma care.” In the following sections, we summarize the current status of the program and its future plans for national rollout.Evolution of performance improvement in trauma The COT has been on the leading edge of performance improvement since its inception. Trauma was the first medical specialty to develop regionalized systems of care by establishing dedicated trauma centers and to systematically measure health care outcomes at those centers. 1 Recognizing the limitations of traditionally used peer-review forums to improve care quality in the complex field of trauma care, the COT promotes a “systems approach” to improving quality of care. This approach is based on classical princi-