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Trauma video review utilization: A survey of practice in the United States.

Authors
  • Dumas, R P1
  • Vella, M A2
  • Hatchimonji, J S3
  • Ma, L4
  • Maher, Z5
  • Holena, D N6
  • 1 Division of General and Acute Care Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA. Electronic address: [email protected]
  • 2 Division of Acute Care Surgery and Trauma, University of Rochester School of Medicine and Dentistry, Rochester NY, USA. Electronic address: [email protected]
  • 3 Division of Traumatology, Surgical Critical Care and Emergency Surgery, University of Pennsylvania, Philadelphia, PA, USA. Electronic address: [email protected]
  • 4 Division of Traumatology, Surgical Critical Care and Emergency Surgery, University of Pennsylvania, Philadelphia, PA, USA. Electronic address: [email protected]
  • 5 Division of Trauma and Surgical Critical Care, Temple University, Philadelphia, PA, USA. Electronic address: [email protected]
  • 6 Division of Traumatology, Surgical Critical Care and Emergency Surgery, University of Pennsylvania, Philadelphia, PA, USA; Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA, USA. Electronic address: [email protected]
Type
Published Article
Journal
American journal of surgery
Publication Date
Jan 01, 2020
Volume
219
Issue
1
Pages
49–53
Identifiers
DOI: 10.1016/j.amjsurg.2019.08.025
PMID: 31537325
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Trauma video review (TVR) for quality improvement and education in the United States has been described for nearly three decades. The most recent information on this practice indicated a declining prevalence. We hypothesized that TVR utilization has increased since most recent estimates. We conducted a survey of TVR practices at level I and level II US trauma centers. We distributed an electronic survey covering past, current, and future TVR utilization to the Eastern Association for the Surgery of Trauma membership. 45.0% of US level I and level II trauma centers completed surveys. 71/249 centers (28.5%) had active TVR programs. The use of TVR did not differ between level I and level II centers (28.8% vs. 27.8%, p = 0.87). Respondents using TVR were overwhelmingly positive about its perception (median score 8, [IQR 6-9]; 10 = 'best') at their institutions. TVR use at Level I centers has increased over the past decade. Increased TVR utilization may form the basis for multicenter studies comparing processes of care during trauma resuscitation. Copyright © 2019 Elsevier Inc. All rights reserved.

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