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Sat Dec 8 02:45:56 GMT 2007

Since the emergence and proven success of the Clinical Outcomes Assessment Program in cardiac surgery, several other voluntary databases have been formed aiming at quality improvement. NSQIP is one of them. As far as I know, trauma still has to catch up on this. Wanted to know if anyone here is involved in founding a trauma quality improvement program focusing on process and outcome measures. The problem with some of these programs/datbases is that they do not necessarily result in quality improvement. What do you think should be done to genuinely reduce preventable errors, the variability across differetn trauma centers and to ensure evidence-based practice? I know from experience that sometimes some centers will not report certain complications for example. How  to ensure an open discussion among trauma centers, help smaller centers employ standardized and validated management protocols with improved quality as an end result? What can be done at an individual trauma
 center level?
  KH

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Quality improvement in trauma