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Table 2 Results of assessing general indicators

From: Designing and conducting initial application of a performance assessment model for in-hospital trauma care

Indicator

Results (Frequency or percent)

Description

The average length of stay of trauma victims (day)

5.8

Statistics related to crash patients were not available separately, and the result was related to the trauma ward. The length of stay in ICU was 7.25 days.

The ratio of full-time emergency physicians to the number of patients

0.01

For every 55 patients, there was one emergency medicine specialist per shift.

The ratio of full-time emergency assistants to the number of patients

–

The number of assistants per shift varied.

The ratio of nurses to the number of patients in the emergency department

0.13

There was one nurse for every seven patients. Adequacy confirmation required more assessment.

The ratio of patient carriers to the number of patients in the emergency department

0.12

There was one patient carrier for every eight patients. Adequacyconfirmation required more assessment.

The ratio of cleaner staff to the number of patients in the emergency department

0.06

There was one cleaner staff for every 15 patients. Adequacyconfirmation required more assessment.

The percentage of physicians working in the trauma emergency department who have completed ATLS and received a valid certificate

100%

–

The percentage of trauma nurses who have completed ATCN and received a valid certificate

84.05%

All nurses must take the required courses.

The ratio of resources required to manage airway, breathing, circulation, and shock (based on the WHO checklist)

100%

–

The ratio of specific resources for special injuries management including head, neck, chest, abdomen, extremity, spinal, burns, and wounds (Based on the WHO checklist)

84.05%

Auto transfusion from chest tubes and topical antibiotic dressing were not adequate. Also, maintaining norm tension and oxygenation to prevent secondary brain injury, portable X-ray was not existence.

Tonometer for proper treatment of compartment syndrome

0

 

Per capita physical space of the emergency department in proportion to the number of patients (daily on average)

5.4 square meters per patient in each shift

The physical space of the emergency room was 1815 square meters.

The number of death-related audits based on the latest version of ICD

3

Three of the eight deaths were related to crash patients’ mortality audits.

The number of occurred errors

Bedsore (45)

Medication errors (40)

Registration errors (36)

Other cases (19)

The recorded errors were 180 cases, and they only were related to nurses’ errors.

The number of sessions held to examine the deaths of traumatic victims and the number of approvals implemented based on it

3

Out of 50 approved approvals, three were related to crash patients in a year.

The number of quality improvement sessions to examine the problems related to providing service for traumatic patients and the number of approvals implemented based on it

0

–

The percentage of patients dispositioned in less than 6 h

94.09%

The average time out of the emergency room was about four hours.

The percentage of successful CPR in traumatic patients

1.19%

This index was not calculated for eight months. It was not calculated separately for collisions

The mortality rate of traumatic patients

10.45%

A total of 2124 road traffic patients were admitted to the hospital, of which 222 patients died.

The number of the incidence of hospital complications

6

Only postoperative infection and bleeding were recorded.

The percentage of the visit or re-hospitalization in the emergency department

16.64%

The number of road traffic hospitalizations was 4228, and 707 were readmitted. The cause of readmission is not specified.

The ratio of crash mortality to the number of dead patients

9.11%

The total number of fatalities was 2435, and the number of fatalities due to accidents was 222 (in a year).

  1. [3]
  2. ATLS the Advanced Trauma Life Support course; ATCN the Advanced Trauma Care for Nurses course; ICD International Classification of Diseases; CPR Cardiopulmonary Resuscitation; ICU Incentive Care Unit; WHO World Health Organization