Conference to Improve Outcomes in Pediatric Trauma Care

说明(申请人提供)：伤害是导致儿童和青春期死亡、发病和后天残疾的最重要原因。在过去的30年里，创伤系统已经被开发出来，以改善创伤的结局。现在有数据表明，创伤中心护理提高了成年创伤患者的存活率，但对儿科创伤护理的研究要少得多。最重要的问题之一是确定儿科创伤计划的最佳结构。儿科创伤护理的最佳结构也与提高患者安全的目标密切相关。 关于儿科创伤护理的会议将汇集不同领域的专家和研究人员，以制定研究议程，以解决先前关于儿科创伤护理的研究的局限性，并为国家关于儿科创伤护理的问题提供明确的答案。我们打算召集全国各地各行各业的专家齐聚一堂，审查有关儿科创伤护理的知识现状，并制定一项创新的、合作的研究议程，以改善这一护理。制定儿科创伤护理研究议程的会议目标与AHRQ的三个战略目标完全一致：改善健康结果，加强质量衡量和改进，以及确定改善获得机会和降低成本的战略。 我们将委托就上述关键议题的各个方面编写《白皮书》，并在会议上提交这些白皮书，随后由与会者进行广泛讨论。这些白皮书的作者将代表一个多学科的个人小组，他们构成了美国在各个主题上公认的专家。这些论文将基于系统的回顾和先前的研究。 这次会议的主要成果将是儿科创伤护理的研究议程，并通过同行评议的期刊、演示文稿和网站的附录进行传播。这次会议的成果将对研究人员、潜在的资助机构和政策制定者起到关键作用。对于研究人员来说，它将定义重要的问题和回答儿童创伤关键问题的最佳方法。对于资助机构，会议将为急性护理儿科创伤研究中未来RFA的发展提供指南。最后，这次会议的成果将使政策制定者更好地了解当前创伤政策的证据的强弱或缺乏，以及如何利用研究来指导未来的政策。

DESCRIPTION (Provided by the Applicant): Injuries are the most important cause of death, morbidity and acquired disability during childhood and adolescence. Over the last 30 years, trauma systems have been developed to improve the outcomes from trauma. Data are now available to indicate that trauma center care improves survival for adult trauma patients, but pediatric trauma care has been much less studied. One of the most important questions is to determine the optimal structure for a pediatric trauma program. The optimal structure of pediatric trauma care is also intimately related to the goals of improving patient safety. The conference on pediatric trauma care will bring together experts and researchers in a variety of fields to develop a research agenda to address the limitations of prior studies of and provide definitive answers to the national questions on pediatric trauma care. We intend to gather experts from across the country in a wide variety of specialties to come together to review the current state of knowledge about pediatric trauma care and to develop an innovative, collaborative research agenda to improve this care. The conference goals of developing a pediatric trauma care research agenda are totally consistent with the three strategic goals of AHRQ to: improve health outcomes, strengthen quality measurement and improvement, and identify strategies to improve access and reduce costs. We will commission "white papers" on the various aspects of key topics described above and have these white papers presented at the meeting, followed by extensive discussion among conference participants. The authors of these white papers will represent a multidisciplinary group of individuals who constitute the recognized experts in the US on the respective topics. The papers will be based on systematic reviews and prior research. The major product of this conference will be a research agenda for pediatric trauma care and be disseminated through a supplement to a peer reviewed journal, presentations and websites. The products of this conference will be of critical use to researchers, potential funding agencies, and policy makers. For researchers, it will define the important questions and best approaches to answering key questions in pediatric trauma. For funding agencies, the conference will provide a guide to the development of future RFAs in acute care pediatric trauma research. Finally, the products of this conference will allow policy makers to better understand the strength, or lack, of evidence for current trauma policy and how research might be used to guide future policy.