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Data Collector Trauma

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0% found this document useful (0 votes)
2 views109 pages

Data Collector Trauma

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
You are on page 1/ 109

Purpose of this sheet

This sheet designed to capture and measure the enrollement of targeted population related

How to use Trauma document

Sheet name: Trauma data


1- Data collected should be entered manually in the sheet named "Trauma data"
2- Don’t use Copy and Paste to enter the data in "Trauma data" as it will affect the data qua
3- Black cell in "Trauma data" means no data entry required in this cell

Data set item Definition

The date documented in the medical record. Date format should be


Date of arrival DD-Month-YYYY and the visit date should be after 15-JAN-2022 to
unify the measurement date for all participating facilities.

The patient ID defined as the number of the national ID for Saudis


and Iqama number for non Saudis or Passport number for non
Patient ID Saudi with no Iqama. The required number of digits accepted is
exactly 10 digits.

Gender Enter the gender (Male or Female)

The targeted patient for Trauma pathway are those


Age above 1 years old.
The patient should be entered as a number not as a
date of birth.
The mode of arrival may play role in the outcome. The
expected modes of arrival are: By Red Crescent, By
private care or walk-in or the patient transferred from
another hospital.
By Red crescent: The patient brought from the trauma
Mode of arrival scene to the hospital.
By private car/walk-in: The patient arrived by private car
and not accompanied by a paramedical staff.
Transferred from another hospital: The patient arrived to
the recieving hospital by an ambulance from the
transferring hospital
if Transferred from another hospital,
what is the date & time of request for
transfer? Tansfer time from the sending hospital. The time should
(From Ehalati system or referral be entered in a 24 h format. E.g. 11:00 pm will be
report) entered as 23:00.
mm/dd/yyyy hh:mm

if Transferred from another hospital, Arrival time from the receiving hospital. The time should
what is the date & time of arrival? be entered in a 24 h format. E.g. 11:00 pm will be
mm/dd/yyyy hh:mm entered as 23:00.

There are two types of trauma based on RTS: Penetrating and


Blunt trauma.
Penetrating trauma occurs when a foreign object pierces the
Mechanism of trauma? skin and enters the body creating a wound. In blunt or non-
penetrating trauma the skin is not necessarily broken. In
penetrating trauma, the object remains in the tissue or passes
through the tissues and exits the body.

Systolic Blood Pressure Enter the Systolic Blood Pressure


Glasgow Coma Scale Enter the Glasgow Coma Scale

Respiratory Rate Enter the Respiratory Rate


Enter injuries that include head, brain, neck, and cervical spine.
Head and Neck
Select the specific injury, if there are multiple injuries within
this category choose the most severe injury! All other injuries
that are not listed are catgorized as minor.

Enter injuries that include facial skeleton, nose, mouth, eyes, &
Face
ears. Select the specific injury, if there are multiple injuries
within this category choose the most severe injury! All other
injuries that are not listed are catgorized as minor.
Enter injuries that include lungs, heart, thoracic organs,
thoracic spine, and diaphragm. Select the specific injury, if
Chest there are multiple injuries within this category choose the most
severe injury! All other injuries that are not listed are
catgorized as minor.
Enter injuries that include abdominal organs, pelvic organs, and
Abdomen
lumbar spine. Select the specific injury, if there are multiple
injuries within this category choose the most severe injury! All
other injuries that are not listed are catgorized as minor.
Enter injuries that include pelvic skeleton injuries, extremity
injuries, sprains, fractures, dislocations. Select the specific
Extremities or Pelvic Girdle injury, if there are multiple injuries within this category choose
the most severe injury! All other injuries that are not listed are
catgorized as minor.

Enter injuries that include lacerations, contusions, burns or


External and Others
hypothermia. Select the specific injury, if there are multiple
injuries within this category choose the most severe injury! All
other injuries that are not listed are catgorized as minor.
The possible scenario of patient's leave from the ED will be one
of the following:
Admission: to any unit of the hospital.
Transferred to another hospital: shifted from a hospital to
ED disposition?
another.
Discharged home: left the ED directly to home based on the
medical advice
Death in ED: the patient can't survive until to be shifted out
from ED.
DAMA: Discharge Against Medical Advice

What is the Probability of Survival?


The calculated percentage that indicate the probability of
survive of the patient after any trauma.

Sheet name: Summary sheet


1- In section 1, there is a list of information about the data collector and the facility that MU

2- In section 1, "First date of the week": First date of the week means Sunday date. Use the
3- In section 2, The table intended for review before submission to the business units.
4- In section 2, "Domain Leader" means the clinical expert that can review th
5- In section 2, "Cluster accountable staff" means the performance expert that can r
6- In section 3, "Data quality" represents the calculated score for validation of the data sub
7- In section 4, The table (G9-H30) illustrate the validation for each item in the data s
Percentage of completeness Explanation
No data No data entered in the specific data set item
The data submitted in the specific data set item is more than
Incorrect data entry
the required information
there are some data submitted in the specific data set item but
Less than 100%
it is less than the required information
Equal to 100% The data submitted are complete

Sheet name: Statistics


1- The sheet designed to summarize the data entered to help the facility understand the da
2- The numbers calculated automatically and no need to enter data in this sheet.

Sheet name: Definition


1- The sheet designed to define the required KPI(s)
2- Each KPI linked to the corresponding clinical pathway
3- All KPIs are selected by clinical experts from network teams
4- All KPIs reviewed by the MoC center of excellence and approved by the VP for transforma

Data collection plan

Source of information: Patinet record or database of patients diagnosed with Trauma


Data collectors: Data will be collected by an assigned staff in the facility

The cases will be all people enrolled in the pathway from 18years old and
Case selection method:
The selection will begin from 15th January 2022 and will be repeated we

Data recording: A specially-designed excel document (this document) including care-relat


Data will be collected on daily basis for cases diagnosed as
Timing of data collection:
Trauma.

Data review (quality control)

After data recorded in this excel then the data collector should review th
Data collector role:
responsible to fill the cells from 1- 8 in section 1 and 2 in "Summary shee

Domain leader is the assigned person in the cluster level. When doamin l
Domain leader role: all items in section 1 and No. 8 in section 2 and item in section 3 is 100%
staff".

Cluster accountable staff is the person responsible for the data and the la
Cluster accountable staff: After this excel been reviewed by the "Domain leader", then you can see
"Summary sheet" . If not you can return it back to the domain leader or t
Data reporting line
From facility to domain leader On every Wednesday at 12 pm
From domain leader to Cluster
On every Wednesday at 3 pm
accountable staff

From cluster accountable staff to On every Thursday at 4 pm


Model of Care Center of
Excellence in Health Holding
Company (MoC CoE- HCC)

Data reporting channel


From facility to domain leader Email or any preferrable channel
From domain leader to Cluster
accountable staff Email or any preferrable channel

From cluster accountable staff to


Model of Care Center of
[email protected]
Excellence in Health Holding
Company (MoC CoE- HCC)
ed population related to the cooresponding pathway

uma data"
ill affect the data quality and the file might be not ready for submission

Dropdown list connected How to analyze?

Use the date to understand the daily flow of the patients


No dropdown list (visitors)

No dropdown list No analysis expected

M/F Could be used to understand the distribution

No dropdown list Could be used to understand the distribution

By ambulance (Red crescent): Preferred option and will


be enrolled from the start of the pathway
By Red crescent By private car: less recommended option and will be
By private car/walk-in enrolled from the start of the pathway
Transferred from another hospital
Transferred from another hospital: and will NOT be
enrolled from the start of the pathway.
NA

The difference between sending and arrival is counted to


know how many patients transferred within the targeted
duration (< 4 hours).

NA

Penetrating
Blunt Used for analysis with the survival probability

No dropdown list Used to calculate RTS


Eye Opening Response
• Spontaneous--open with blinking at baseline 4 points
• To verbal stimuli, command, speech 3 points
• To pain only (not applied to face) 2 points
• No response 1 point

Verbal Response
• Oriented 5 points
• Confused conversation, but able to answer questions 4
points
• Inappropriate words 3 points
No dropdown list • Incomprehensible speech 2 points
• No response 1 point
Motor Response
• Obeys commands for movement 6 points
• Purposeful movement to painful stimulus 5 points
• Withdraws in response to pain 4 points
• Flexion in response to pain (decorticate posturing) 3
points
• Extension response in response to pain (decerebrate
posturing) 2 points
• No response 1 point

No dropdown list Used to calculate RTS


subarachnoid hemorrhage
Moderate: Simple undisplaced Skull Fracture
Moderate: Penetrating Neck Injury with tissue loss
Serious: Mild Brain Edema (Compressed ventricles
without brain stem cisterns)
Serious: Small Brain Contusion
Serious: Superficial penerating injury to skull (less than 2
cm deep)
Serious: Penetrating Neck Injury with major blood loss
(More than 20%)
Severe: Moderate Brain Edema (Compressed ventricles
and brain stem cisterns)
Severe: Large Brain Contusion
Severe: Small to Moderate Epidural, Subdural, or
Intracerebral Hematoma
Severe: Diffuse Axonal Injury
Severe: Unilateral thrombosis of Head and Neck arteries
(Internal carotid, vertibral, or cerebral arteries)
Severe: Open or depressed skull fracture Choose the most severe injury - Used to calculate ISS
Critical: Severe Brain Edema (Absent ventricles or brain
stem cisterns)
Critical: Massive Brain Contusion
Critical: Large Epidural, Subdural, or Intracerebral
Hematoma
Critical: Brain stem compression, herniation, infarction,
or injury)
Critical: Major penerating injury to skull (more than 2
cm deep)
Critical: Unilateral laceration of Head and Neck arteries
(Internal carotid, vertibral, or cerebral arteries)
Critical: Basilar artery injury (Laceration, thrombosis,
occlusion, or traumatic aneurysm)
Critical: Bilateral thrombosis of Head and Neck arteries
Critical: C4 or below causing complete cord transection
or contusion
Unsurvivable: Massive destruction of skull and brain
Unsurvivable: Brain stem laceration, massive

No injury
Minor (All Other Injuries)
Moderate: LeFort I Fracture or LeFort II Fracture
Moderate: Penetrating face injury tissue loss
Serious: LeFort III Fracture
Serious: Penetrating face injury with major blood loss (more Choose the most severe injury - Used to calculate ISS
than 20%)
Serious: LeFort III Fracture with major blood loss (more than
20%)
Severe: Penetrating face injury causing massive distruction to
face including both eyes
No injury
Minor (All Other Injuries)
Moderate: Simple Pneumothorax
Moderate: Pneumomeiastinum
Moderate: Multiple rib fractures
Moderate: Sternal fracture
Moderate: Other named vein injury
Serious: Hemothorax
Serious: Lung contusion
Serious: Rib fractures with flial chest
Serious: Other named artery injury
Serious: Diaphragmatic laceration (Less than 10 cm)
Severe: Pneumothorax (50% lung collapse on x-ray)
Severe: Major Heamothorax (More than 1000 cc)
Severe: Aortic injury (intimal tear)
Severe: Vena Cava injury Choose the most severe injury - Used to calculate ISS
Severe: Subclavia artery or vein injury or brachiocephalic
injury
Severe: Diaphragmatic rupture (More than 10 cm)
with/without herniation
Critical: Tension pneumothorax
Critical: Aortic rupture with hemorrhage confined to
mediastinum or with involvment of the aortic root/ aortic
valve
Critical: Plumonary artery or vein laceration
Critical: Coronary artery injury
Unsurvivable: Heart rupture, multiple lacerations or avulsion
Unsurvivable: Massive Chest Crush (Bilateral Destruction of
Skeletal, Vascular, and Organ Systems
Unsurvivable: Aortic rupture with hemorrhage not confined
to mediastinum
Unsurvivable: Bilateral plumonary artery or vein laceration
No injury
Minor (All Other Injuries)
Moderate: Liver laceration less than 3 cm deep
Moderate: Spleen laceration less than 3 cm deep
Moderate: Small bowel, Colon, or rectal injury less than 50%
circumference
Moderate: Kidney laceration (less than 1 cm not reaching the
collecting system) or small contusion
Moderate: Anus injury partial thickness
Moderate: Urinary Bladder Contusion
Serious: Liver laceration more than 3 cm deep or with major
duct involvment
Serious: Spleen laceration more than 3 cm deep
Serious: Small bowel, Colon, or rectal injury more than 50%
circumference
Serious: Kidney laceration (more than 1 cm not reaching the
collecting system) or large contusion
Serious: Abdominal named artery or vein intimal tair or
laceration (incomplete with mild bleeding)
Serious: Anus perforation full thickness
Serious: Urinary Bladder laceration Choose the most severe injury - Used to calculate ISS
Severe: Liver disruption involving less than 75% of the liver
lobe
Severe: Spleen injury causing devascularization of more than
25% of the spleen
Severe: Small bowel, Colon, or rectal injury massive complex
tissue loss
Severe: Kidney laceration extending into the collecting system
or main renal vessle injury with contained hematoma
Severe: Abdominal named artery or vein major rupture,
transection, major bleeding
Severe: Abdominal Aortic intimal tair or laceration
(incomplete with mild bleeding)
Severe: Anus injury with massive tissue loss
Severe: Urinary Bladder injury including the trigone
Critical: Liver disruption involving more than 75% of the liver
lobe
Critical: Spleen hilum injury
Critical: Kidney hilum avulsion or total distruction
Critical: Abdominal Aortic rupture with major bleeding
Unsurvivable: Liver avulsion (Total separation of all vascualr
attachments)
No injury
Minor (All Other Injuries)
Moderate: Fractures (upper or lower extremity) not open
Moderate: Vascualr injury (upper or lower extremity) without
major blood loss
Moderate: Compartment syndrome (upper or lower
extremity) without muscle loss
Moderate: Amputation at wrist or ankle
Serious: Pelvic Ring Fracture (Open Book)
Serious: Open Fractures (upper or lower extremity) Choose the most severe injury - Used to calculate ISS
Serious: Vascualr injury (upper or lower extremity) with major
blood loss
Serious: Compartment syndrome (upper or lower extremity)
with muscle loss
Serious: Amputation below the elbow and above the wrist
Serious: Amputation below the knee and above the ankle
Severe: Pelvic Ring Fracture (Open Book) with major bleeding
Severe: Amputation above the elbow or knee

No injury
Minor (All Other Injuries)
Moderate: 2nd or 3rd degree burns involving 10% to 19%
Total Body Surface
Serious: Total scalp avulsion or Scalp injury associated with >
20% blood volume loss
Serious: 2nd or 3rd degree burns involving 20% to 29% Total
Body Surface
Serious: Near drowning without neurological deficit
Severe: 2nd or 3rd degree burns involving 30% to 39% Total
Body Surface Choose the most severe injury - Used to calculate ISS
Severe: Near drowning with neurological deficit
Critical: 2nd or 3rd degree burns involving 40% to 90% Total
Body Surface
Critical: Drowning with cardiac arrest
Unsurvivable: 2nd or 3rd degree burns involving more than
90% Total Body Surface
Unsurvivable: Explosion injury affecting whole body (multiple
organ injury to brain, thorax, and/or abdomen with loss of
one or more limbs)
Admission: means the patient left ED to the proper place
Transferred to another hospital: The required care for
the patient not available in the hospital
Admission Discharged home: The patient status doesn’t require
Transferred to another hospital admission and to be correlated with the survival
Discharged home probability.
Death in ED Death in ED: need investigation to understand whether
DAMA the patient status was critical enough or the care not
provided in appropriate way
DAMA: need investigation to understand the reason
behind

Minimum percentage 2.7% and maximum 98.89% Calculated automatically

d the facility that MUST be entered

Sunday date. Use the first date of the week ONLY, don’t enter the date of the end of the week!
business units.
rt that can review the KPI results in "Trauma data" sheet and "Statistics" sheet from clinical perspective in or
ance expert that can review the KPI results in "Trauma data" sheet and "Statistics" sheet from data perspecti
ation of the data submitted in "Trauma data" sheet. The accepted score is 100%, if less the document will no
ach item in the data set designed in "Trauma data" sheet. The table below demonistrate the expected valida
Action required
Complete the data required if needed

Delete the extra information submitted

Complete the required information

No further action required

ty understand the data.


this sheet.
the VP for transformation

d with Trauma

way from 18years old and above diagnosed with Trauma each week. The people will be identified from the manual patient reco
and will be repeated weekly from Wednesday 8 am - next Wednesday 7:59 am

ment) including care-related and patient related data will be used. Detailed directions are available above

ollector should review the data using section 4 in "summary sheet". If any data set element not scoring 100% then it means the
and 2 in "Summary sheet".

ter level. When doamin leader recieves this document he will check the completeness of information in all section 1 and inform
tem in section 3 is 100% are completely filled you will see this sign ( ✓), then you can fill the items 9 and 10 in section 2

le for the data and the last gate before sending this document to the higher level outside the cluster.
eader", then you can see this sign (✓) infront of all items of section 1 AND items No. 8 and 9 in section 2 AND section 3 as 100%
o the domain leader or the facility.
d of the week!

inical perspective in order to accept the results calculated.


et from data perspective in order to accept the results calculated.
s the document will not be ready for submission
te the expected validation result and the required action needed.
m the manual patient record or electronic database of requests to assess patients.

g 100% then it means there are missing data to be completed. The data collector

in all section 1 and information in number 8 in section 2 in "Summary sheet". When


ms 9 and 10 in section 2 then send the document to the "Cluster accountable

n 2 AND section 3 as 100%, then you can fill the items 11 and 12 in section 2 in
Version 2022 MAY File ready to submit? 0
File ready to submit by Domain leader?
Domain Trauma 0
File ready to submit by Cluster? 0

Data collector and facility information


Section 1
1 Name of Data Collector: 0
2 Phone Number: 0
3 Email Address: 0
4 First date of the week: 0
5 Health cluster: 0
6 Facility Name:
0
7 All data entered?
0

Attention: Prior to submitting this data file, it must undergo a review with the
data collector, with the Domain Leader, and with the Coordinator of Cluster accountable staff

Section 2 Data Review Prior to Submission


8 Reviewed by Data Collector? 0
9 Reviewed by Domain Leader? 0
10 Name of Domain Leader: 0
11 Reviewed by Cluster accountable staff?
0
12 Name of Cluster accountable staff
0

Section 3 Data quality 67.5% 0


2018
2019
2020
2021
My file is NOT ready to submit
My file is NOT ready to submit
My file is NOT ready to submit

Data set item


Section 4
Date of arrival
Patient ID
Gender
Age
Mode of arrival
if Transferred from another hospital, what is the date & time of request for
transfer?

if Transferred from another hospital, what is the date & time of arrival?

Transfer to Arrival Time


Mechanism of trauma?
Systolic Blood Pressure
Glasgow Coma Scale
Respiratory Rate
Revised Trauma Score (RTS)?
Head and Neck (Includes Cervical Spine)
Face: Facial Skeleton, Nose, Mouth, Eyes, & Ears
Chest: thoracic spine and diaphragm

Abdomen: abdominal organs and lumbar spine (includes pelvic contents)

Extremities or Pelvic Girdle (including pelvic skeleton injuries, extremity


injuries, sprains, fractures, dislocations)
External and other (includes injuries such as lacerations, contusions, burns
or hypothermia)
ISS Score
ED disposition?
Facility name
Survival Probability
Completed TRISS

Important tips:
When the file become ready to submit by facility?
When the file become ready to submit by Domain leader?
When the file become ready to submit by Domain leader?
Percentage of completeness

100%
100%
100%
100%
100%
No Data

No Data
No Data
67%
67%
67%
67%
67%
67%
67%
67%
67%

67%

67%
67%
67%
100%
67%
67%

File will be ready if items 1, 2, 3, 4, 5, 6, 7, 8 in section 1 AND section 3 ALL are (✓)
File will be ready if items 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 in section 1 AND section 3 ALL are (✓)
File will be ready if items 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 in section 1 AND section 3 ALL are (✓)
if Transferred from another hospital, what is if Transferred from another hospital, what is the
Date of arrival Patient ID Age the date & time of request for transfer? date & time of arrival?
(National ID or IQAMA Numer or Gender Mode of arrival
dd-Month-yyyy Passport) in years (From Ehalati system or referral report) (From Ehalati system or referral report)
mm/dd/yyyy hh:mm mm/dd/yyyy hh:mm

1-Oct-24 M By Red crescent


2432851349 38
4-Oct-24 M By Private car/walk-in
2441866288 35
2-Oct-24 F By Red crescent
1033811546 56
3-Oct-24 F By Red crescent
1033811546 73
11-Oct-24 M By Red crescent
1023403304 83
12-Oct-24 M By Red crescent
1159814407 12
5-Oct-24 F By Private car/walk-in
2310484320 38
13-Oct-24 F By Private car/walk-in
1203987662 2

1-Oct-24 2432851349 M 38 By Red crescent


4-Oct-24 2441866288 M 35 By Private car/walk-in
2-Oct-24 1033811546 F 56 By Red crescent
3-Oct-24 1033811546 F 73 By Red crescent
12 12 12 12 12 0 0
Transfer to Arrival Time Mechanism of trauma? Systolic Blood Pressure Glasgow Coma Scale Respiratory Rate

Blunt
102 15 22
Blunt
119 15 24
Blunt
121 15 22
Blunt
142 15 24
Penetrating
139 15 24
Blunt
128 15 22
Blunt
142 15 24
Penetrating
101 15 26
0 8 8 8 8
Head and Neck (Includes Cervical Spine) Face: Facial Skeleton, Nose, Mouth, Eyes, & Ears

If There is Multiple Injuries Choose the Most Severe Injury! If There is Multiple Injuries Choose the Most Severe Injury!

Moderate: Tiny Epidural, Subdural, or Intracerebral Hematoma Moderate: Penetrating face injury tissue loss

Minor (All Other Injuries) No injury

No injury No injury

No injury No injury

No injury No injury

No injury No injury

No injury No injury

Moderate: Tiny Epidural, Subdural, or Intracerebral Hematoma No injury


8 8
Chest: thoracic spine and diaphragm Abdomen: abdominal organs and lumbar spine (includes pelvic contents)

If There is Multiple Injuries Choose the Most Severe Injury! If There is Multiple Injuries Choose the Most Severe Injury!

No injury No injury

No injury No injury

Minor (All Other Injuries) Minor (All Other Injuries)

No injury No injury

No injury No injury

No injury No injury

No injury No injury

No injury No injury
8 8
Extremities or Pelvic Girdle (including pelvic skeleton injuries, extremity External and other (includes injuries such as lacerations, contusions, burns or
injuries, sprains, fractures, dislocations) hypothermia)
ISS Score ED disposition?
If There is Multiple Injuries Choose the Most Severe If There are Multiple Injuries Choose the Most Severe
Injury! Injury!

No injury No injury 8 Admission

Minor (All Other Injuries) Minor (All Other Injuries) 3 Transferred to another hospital

Minor (All Other Injuries) Minor (All Other Injuries) 3 Admission

Moderate: Fractures (upper or lower extremity) not open No injury 4 Admission

Moderate: Fractures (upper or lower extremity) not open No injury 4 Admission

Moderate: Fractures (upper or lower extremity) not open No injury 4 Admission

Moderate: Fractures (upper or lower extremity) not open No injury 4 Admission

No injury No injury 4 Admission


8 8 8 8
Major Trauma Numerator: Denomerator:
Denomerator:
Major Trauma 2 Numerator: 3 Number of
Maximu Total number
Minimum Percentage of Total number of
Facility name m time Average transfer Number of major trauma of major major
Survival time from major Trauma
from time (Time from trauma trauma major trauma
Probability transfer request of transfer patients with a patients with
Automatically filled! transfer patients patients who patients
to arrival to arrival at completed severity completed
to arrival receiving hospital) assessment
received at die in weekly received at the
severity
the hospital basis hospital
assessment

0 99.46% 0:00 0:00 No Data 8 12 66.67% 0 12


0 99.65%

0 98.01% Actual mortality


0 97.84%

0 97.93%

0 99.61%

0 99.61%

0 99.33%

0
12 8.0
Major Trauma 4
Expected ED mortality rate
ED Mortality Rate
For comparison
(Actual)

0.00% 1.07%

Actual mortality rate vs Expected mortality rate The quality of care accepted
Pathway KPI Title

Average transfer
time (Time from
Major Trauma 2 request of transfer to
arrival at receiving
hospital)

Percentage of major
Trauma patients with
Major Trauma 3
completed severity
assessment

Mortality Rate
Major Trauma 4
(Severity adjusted)

Severity
assessment tool

Major Trauma
definition
KPI Description care
settings

Starting point: Time and date of transfer request from a hospital


Ending point: Time and date of arrival at receiving hospital Inpatient
Calculation = end point – start point

(Number of trauma patients with a completed severity assessmenty/ Total Inpatient


number of major trauma patients received at the hospital) x 100

(Number of major trauma patients who die (stratified by severity) in weekly Inpatient
basis/ Total number of major trauma patients received at the hospital) X 100

click the link to go to online assessment pagehttps://www.mdapp.co/trauma-injury-severity-score-triss-calculator-277/

Major trauma is defined as an injury or combination of injuries that


are life-threatening and could be life changing because it may
result in long-term disability.
Domain Numerator Denominator Target

Timeliness NA NA < 4 hours

Total number of major trauma


Number of trauma patients with a
Effectiveness patients received at the > 90 %
completed severity assessment
hospital

Number of major trauma patients Total number of major trauma


Safety who die (stratified by severity) in patients received at the TBD
weekly basis hospital
Data
Exclusions Sources of Data Reporting
Frequency

Nil Weekly

Nil Weekly
Medical record or other
database (eg,
administrative, clinical,
registry)

Nil Weekly
Note

Severity assessment should be


calculated using Injury severity
score if available or the Kampala
Trauma Score II

Calculate the mortality ratte for


each severity category
Submitted Sumitted Sumitted
Data set item data criteria 1 criteria 2

Date of arrival
12
dd-Month-yyyy
Patient ID
(National ID or IQAMA Numer or Passport) 12
Gender 12
Age
12
in years
Mode of arrival 12 0

if Transferred from another hospital, what is the date & time of request for transfer?

(From Ehalati system or referral report)


0
mm/dd/yyyy hh:mm

if Transferred from another hospital, what is the date & time of arrival?

(From Ehalati system or referral report)


0
mm/dd/yyyy hh:mm

Transfer to Arrival Time 0 0


Mechanism of trauma? 8
Systolic Blood Pressure 8
Glasgow Coma Scale 8
Respiratory Rate 8
CODE FOR SBP 8
CODE FOR GCS 8
CODE FOR RR 8
Revised Trauma Score (RTS)? 8
Head and Neck (Includes Cervical Spine)
8
If There is Multiple Injuries Choose the Most Severe Injury!
Face: Facial Skeleton, Nose, Mouth, Eyes, & Ears
8
If There is Multiple Injuries Choose the Most Severe Injury!
Chest: thoracic spine and diaphragm
8
If There is Multiple Injuries Choose the Most Severe Injury!
Abdomen: abdominal organs and lumbar spine (includes pelvic contents)
8
If There is Multiple Injuries Choose the Most Severe Injury!
Extremities or Pelvic Girdle (including pelvic skeleton injuries, extremity injuries, sprains,
fractures, dislocations)
8
If There is Multiple Injuries Choose the Most Severe Injury!
External and other (includes injuries such as lacerations, contusions, burns or
hypothermia)
8
If There are Multiple Injuries Choose the Most Severe Injury!
Head & Neck AIS Score 8
Face AIS Score 8
Chest AIS Score 8
Abdomen AIS Score 8
Extremities AIS Score 8
External AIS Score 8
ISS Score 8
ED disposition? 8
Facility name
12
Automatically filled!
b0 8
b1 8
b2 8
b3 8
Age Index 12
b 8
Survival Probability 8
Completed RTS 8
Completed ISS 8
Completed Probability of Survival 8
Completed TRISS 8
340
Required Percentage of
data completeness

12 100%

12 100%
12 100%

12 100%

12 100%

0 No Data

0 No Data

0 No Data
12 67%
12 67%
12 67%
12 67%
12 67%
12 67%
12 67%
12 67%

12 67%

12 67%

12 67%

12 67%

12 67%

12 67%

12 67%
12 67%
12 67%
12 67%
12 67%
12 67%
12 67%
12 67%

12 100%

12 67%
12 67%
12 67%
12 67%
12 100%
12 67%
12 67%
12 67%
12 67%
12 67%
12 67%
468 67.5%

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