ArticleBMC health services research2013
Developing process guidelines for trauma care in the Netherlands for severely injured patients: results from a Delphi study.
Article in BMC health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis.BMJ quality & safety · 2023Pooled it
- Out-of-hospital emergency medical services in Poland: organization, challenges, and modern solutions.Frontiers in public health · 2026Review
- The effect of a clock's presence on trauma resuscitation times in a Dutch level-1 trauma center: a pre-post cohort analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Observational
- A consensus statement for trauma surgery capacity building in Latin America.World journal of emergency surgery : WJES · 2021Article
- National consensus on communication in prehospital trauma care, the DENIM study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2017Article
- Learning from 2523 trauma deaths in India- opportunities to prevent in-hospital deaths.BMC health services research · 2017Observational
- Disentangling rhetoric and reality: an international Delphi study of factors and processes that facilitate the successful implementation of decisions to decommission healthcare services.Implementation science : IS · 2014Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn organised trauma systems the process of care is the key to quality. Nevertheless, the optimal process of trauma care remains unclear due to lack of or inconclusive evidence. Because monitoring and improving the performance of a trauma system is complex, this study aimed to develop consensus-based process guidelines for trauma care in the Netherlands for severely injured patients.
methodsA five-round Delphi study was conducted with 141 participants that represent all professions involved in trauma care. Sensitivity analyses were carried out to evaluate whether consensus extended across all professions and to detect possible bias.
resultsConsensus was reached on 21 guidelines within 4 categories: timeliness, actions, competent teams and interdisciplinary process. Timeliness guidelines set specific critical limits and definitions for 10 time intervals in the time period from an emergency call until the patient leaves the trauma room. Action guidelines reflect aspects of appropriate care and strongly rely on the international Advanced Trauma Life Support principles. Competence guidelines include flow charts to assess the competence of prehospital and emergency department teams. Essential to competent teams are education and experience of all team members. The interdisciplinary process guideline focuses on cooperation, communication and feedback within and between all professions involved. Consensus was extended across all professions and no bias was detected.
conclusionsIn this Delphi study, a large expert panel agreed on a set of guidelines describing the optimal process of care for severely injured trauma patients in the Netherlands. In addition to time intervals and appropriate actions, these guidelines emphasise the importance of team competence and interdisciplinary processes in trauma care. The guidelines can be seen as a description of a best practice and a new field standard in the Netherlands. The next step is to implement the guidelines and monitor the performance of the Dutch trauma system based on the guidelines.
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Registered trials
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