Evidence map›Paper›PMID 34100561›Full record

ArticleJournal of Korean medical science2021

An Evaluation of the Effect of Performance Improvement and Patient Safety Program Implemented in a New Regional Trauma Center of Korea.

Yo Huh, Junsik Kwon, Jonghwan Moon, Byung Hee Kang, Sora Kim, Jayoung Yoo, Seoyoung Song, Kyoungwon Jung

Open access · goldAbstract read
In one paragraph

Article in Journal of Korean medical science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. State of orthopaedic trauma registries in South Korea, Japan, and Australia.OTA international : the open access journal of orthopaedic trauma · 2025
    Article
  4. Article
  5. Article
  6. [Indicators to measure the performance of emergency trauma care].Revista medica del Instituto Mexicano del Seguro Social · 2023
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Yo HuhDivision of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, Korea.ORCID https://orcid.org/0000-0002-1220-1534
Junsik KwonDivision of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, Korea.ORCID https://orcid.org/0000-0003-3164-4995
Jonghwan MoonDivision of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, Korea.ORCID https://orcid.org/0000-0002-4630-3301
Byung Hee KangDivision of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, Korea.ORCID https://orcid.org/0000-0003-3204-3251
Sora KimGyeonggi South Regional Trauma Center, Ajou University Hospital, Suwon, Korea.ORCID https://orcid.org/0000-0001-9787-2339
Jayoung YooGyeonggi South Regional Trauma Center, Ajou University Hospital, Suwon, Korea.ORCID https://orcid.org/0000-0003-0822-1935
Seoyoung SongGyeonggi South Regional Trauma Center, Ajou University Hospital, Suwon, Korea.ORCID https://orcid.org/0000-0003-3359-9526
Kyoungwon JungDivision of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, Korea.ORCID https://orcid.org/0000-0001-7895-0362
Ajou University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study examined the impact of the performance improvement and patient safety (PIPS) program implemented in 2015 on outcomes for trauma patients in a regional trauma center established by a government-led project for a national trauma system in Korea.

methodsThe PIPS program was based on guidelines by the World Health Organization and American College of Surgeons. The corrective strategies were proceeded according to the loop closure principle: data-gathering and monitoring, identification of preventable trauma deaths (PTDs), evaluation of preventable factors, analysis of findings, and corrective action plans. We established guidelines and protocols for trauma care, conducted targeted education and peer review presentations for problematic cases, and enhanced resources for improvement accordingly. A comparative analysis was performed on trauma outcomes over a four-year period (2015-2018) since implementing the PIPS program, including the number of trauma team activation and admissions, time factors related to resuscitation, ventilator duration, and the rate of PTDs.

resultsHuman resources in the center significantly increased during the period; attending surgeons responsible for trauma resuscitation from 6 to 11 and trauma nurses from 85 to 218. Trauma admissions (from 2,166 to 2,786), trauma team activations (from 373 to 1,688), and severe cases (from 22.6 to 33.8%) significantly increased (all

conclusionImplementation of the PIPS program resulted in improvements in outcomes at a regional trauma center that has just been opened in Korea. Further establishment of the PIPS program is required for optimal care of trauma patients.

Indexed as

Patient SafetyQuality ImprovementHospitalizationHumansMortalityProgram EvaluationResuscitationTime FactorsTrauma CentersTreatment OutcomeWounds and InjuriesMortalityPatient SafetyQuality ImprovementTrauma CentersTreatment OutcomeWounds and Injuries

Identifiers

PMID34100561
PMCPMC8185120
OpenAlexW3163646992

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.