Trauma Performance Measures

2012 Performance Measures

1.  Patients admitted to ICU with an ETC LOS ≤ 2 hours (Goal = 75%)

Tips to Ensure Compliance: Early entrance of Bed-Request Orders (All intubated patients admitted to the ICU)

2.  Patients admitted to the Trauma Unit with an ETC LOS ≤ 4 hours (Goal 80%)

Tips to Ensure Compliance: Early entrance of Bed-Request Orders

3. Head injured anticoagulated patients (Example: ASA, Plavix, Coumadin) with time to first head CT in the ETC ≤ 30 minutes (Goal 75%)

Tips to Ensure Compliance: Use the “CT Head without Contrast – Anticoagulated Head Injury” Order

4. Anticoagulated patients(Example: ASA, Plavix, or Coumadin) with head bleed – time to reversal or initiation of product (Platelets, Thawed Plasma, FFP, or Factor VII) ≤ 2 hours from MVH arrival (Goal 75%)

Tips to Ensure Compliance: Use of Emergency Release Fresh Frozen Plasma and Platelets. Order; Emergency Release Fresh Frozen Plasma and Platelets by contacting x3559

5. Blood Gas (Arterial [resuscitation and ventilation] or Venous [resuscitation]) obtained on all Category 1 Trauma Alerts and indicated (Goal 90%)


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