The effect of introducing a Trauma Network on patient flow, hospital finances and trainee operating

2.50
Hdl Handle:
http://hdl.handle.net/11287/593918
Title:
The effect of introducing a Trauma Network on patient flow, hospital finances and trainee operating
Authors:
Hipps, D.; Jameson, Simon; Murty, A.; Gregory, R.; Large, D.; Gregson, J.; Refaie, R.; Reed, M.
Abstract:
In April 2012 the National Health Service in England introduced the Trauma Network system with the aim of improving the quality of trauma care. In this study we wished to determine how the introduction of the Trauma network has affected patient flow, hospital finances and orthopaedic trauma training across our region. The overall pattern of trauma distribution was not greatly affected, reflecting the relative rarity of major trauma in the UK. A small decrease in the total number of operations performed by trainees was noted in our region. Trainees at units designated as Major Trauma Centres gained slightly more operative experience in trauma procedures overall, and specifically in those associated with high energy, such as long bone nail insertion and external fixation procedures. However, there have been no significant changes in this pattern since the introduction of the Trauma Networks. Falling operative numbers presents a challenge for delivering high quality training within a surgical training programme, and each case should be seen as a vital educational opportunity. Best practice tariff targets for trauma were delivered for 99% of cases at our MTCs. Future audit and review to analyse the evolving role of the MTCs is desirable.
Citation:
Injury. 2015 Feb;46(2):195-200.
Publisher:
Elsevier
Journal:
Injury
Issue Date:
1-Feb-2015
URI:
http://hdl.handle.net/11287/593918
DOI:
10.1016/j.injury.2015.01.024
PubMed ID:
25697735
Additional Links:
http://linkinghub.elsevier.com/retrieve/pii/S0020-1383(15)00028-5
Note:
This article is available via Open Access. Please click on the 'Additional Link' above to access the full-text.
Type:
Journal Article
Language:
eng
ISSN:
1879-0267
Appears in Collections:
2015 RD&E publications; Exeter Hip Unit

Full metadata record

DC FieldValue Language
dc.contributor.authorHipps, D.en
dc.contributor.authorJameson, Simonen
dc.contributor.authorMurty, A.en
dc.contributor.authorGregory, R.en
dc.contributor.authorLarge, D.en
dc.contributor.authorGregson, J.en
dc.contributor.authorRefaie, R.en
dc.contributor.authorReed, M.en
dc.date.accessioned2016-01-19T12:37:21Zen
dc.date.available2016-01-19T12:37:21Zen
dc.date.issued2015-02-01en
dc.identifier.citationInjury. 2015 Feb;46(2):195-200.en
dc.identifier.issn1879-0267en
dc.identifier.pmid25697735en
dc.identifier.doi10.1016/j.injury.2015.01.024en
dc.identifier.urihttp://hdl.handle.net/11287/593918en
dc.description.abstractIn April 2012 the National Health Service in England introduced the Trauma Network system with the aim of improving the quality of trauma care. In this study we wished to determine how the introduction of the Trauma network has affected patient flow, hospital finances and orthopaedic trauma training across our region. The overall pattern of trauma distribution was not greatly affected, reflecting the relative rarity of major trauma in the UK. A small decrease in the total number of operations performed by trainees was noted in our region. Trainees at units designated as Major Trauma Centres gained slightly more operative experience in trauma procedures overall, and specifically in those associated with high energy, such as long bone nail insertion and external fixation procedures. However, there have been no significant changes in this pattern since the introduction of the Trauma Networks. Falling operative numbers presents a challenge for delivering high quality training within a surgical training programme, and each case should be seen as a vital educational opportunity. Best practice tariff targets for trauma were delivered for 99% of cases at our MTCs. Future audit and review to analyse the evolving role of the MTCs is desirable.en
dc.language.isoengen
dc.publisherElsevieren
dc.relation.urlhttp://linkinghub.elsevier.com/retrieve/pii/S0020-1383(15)00028-5en
dc.titleThe effect of introducing a Trauma Network on patient flow, hospital finances and trainee operatingen
dc.typeJournal Articleen
dc.identifier.journalInjuryen
dc.description.noteThis article is available via Open Access. Please click on the 'Additional Link' above to access the full-text.en

Related articles on PubMed

All Items in RD&E Research Repository are protected by copyright, with all rights reserved, unless otherwise indicated.