12/9/2022 0 Comments Houdini protocol![]() ![]() No injuries with AIS severity >1 in any other AIS body region No other injuries in AIS abdomen and pelvic contents body region ![]() #Houdini protocol code#No other injuries with an AIS severity of >2 in any other nonhead AIS body regionĪt least one of the AIS 05/08 injury codes listed in TQIP Reporting Code SetsĪt least one of the AIS 05/08 injury codes listed in the blunt splenic injury cohort Patients are eligible for this cohort if they have another qualifying injury (i.e., if they have a brain injury AND a code above, they may qualify for the cohort) Injury mechanism of cut/pierce or firearm, derived from the submitted External Cause CodeĪny injury with AIS severity ≥3 in at least one of the following body regions: neck, thorax, or abdomenĪIS severity ≥3 for a valid qualifying injury in the AIS head body regionĮxcluding isolated TBI AIS 05/08 codes listed in TQIP Reporting Code Sets Initial ED/hospital SBP between 0 and 90 mmHg See TQIP Reporting Code Sets for more details. This cohort is modified as either open or both open and closed. Injury mechanism of fall, derived from the submitted External Cause CodeĪt least one of the AIS 05/08 codes listed in TQIP Reporting Code SetsĪny other injuries are in AIS external body region (i.e., bruise, abrasion, or laceration) Meets the cohort criteria for both elderly and blunt multisystem cohorts For each of these cohorts, statistical models are used to create risk-adjusted estimates for outcomes and complications.īlunt trauma type, derived from the submitted External Cause CodeĪIS severity ≥3 in at least two of the following body regions: head, face, neck, thorax, abdomen, spine, upper, or lower extremityĮlderly patients-blunt multisystem injuries As of the Fall 2017 TQIP benchmark report, the TQIP reported on the following 10 cohorts of patients: (1) blunt multisystem injuries, (2) elderly patients, (3) elderly patients with blunt multisystem injuries, (4) elderly patients with isolated hip fractures (IHFs), (5) fractures, (6) hemorrhagic shock, (7) penetrating injuries, (8) severe traumatic brain injuries, (9) shock, and (10) splenic injuries ( Table 1). The TQIP reports mortality and complications for all TQIP patients. These measures provide a scientific basis in which participating centers can enact changes to clinical practice (“ Level I & II TQIP,” n.d.). The TQIP collects data from Level I and Level II trauma centers and provides feedback to each TQIP center via risk-adjusted benchmarking. ![]() Since its inception in 2008, the American College of Surgeons Trauma Quality Improvement Program (ACS TQIP) has been improving the quality of care for trauma patients (“ Level I & II TQIP,” n.d. This topic may be of special interest to those involved in the management of programs or systems-level policies as reduction in costs and improving quality are program drivers. Utilizing our guidelines, trauma programs participating in the TQIP should be able to (1) identify trends and focus on outliers in their institutional data, (2) create processes and implement practice improvements, and (3) evaluate the results of their corrective action plan. We discuss these categories using 4 targeted examples. We recommend 4 separate categories by which data and reports should be evaluated: processes of care, quality of care, data coding, and data mapping. The purpose of this article is to provide a guide that demonstrates how using the TQIP hospital-specific data can improve outcomes. Utilizing the TQIP data and drill down feature can lead to changes in clinical practice and improved care. The American College of Surgeons Trauma Quality Improvement Program (TQIP) provides trauma centers with hospital-specific performance data and the ability to compare their performance data with that of similar hospitals nationwide. ![]()
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