Standardized Trauma Admission Orders, a pilot project.
The Standardized Trauma Admission Orders (STAOs) were developed in collaboration with the trauma team. Data supporting the development of the STAOs consisted of a retrospective chart review (group 1, n = 30) and a user satisfaction survey before the implementation of STAOs. A user satisfaction survey was administered before and after the STAOs were implemented. Both surveys showed a positive response to using the STAOs. STAOs were implemented in a surgical-trauma intensive care unit to reduce in-patient admission laboratory charges, the frequency of missed admission orders, and physician ordering variability. The difference between group 1 and group 2 (n = 30, STAOs) in-patient admission laboratory charges was significant. There was a $345 per patient reduction in the mean score between group 1 and group 2. Of the selected orders reviewed, completeness of orders was significantly improved in 5 of 21 orders. Survey results show that 11 (79%) of the staff surveyed were in favor of using the STAOs. The majority agreed that in-patient admission orders needs were being met. The STAOs are still being used in the surgical-trauma intensive care unit with some minor changes. Efforts are being directed toward the development of standardized admission orders for the neurosurgical intensive care unit and the trauma floor.
Schedler
P A
PA
University of Wisconsin Hospital and Clinics, Madison, USA.
Neely
S
S
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D002985:Clinical Protocols / Q000592:standards*; D017046:Cost Savings; D005568:Forms and Records Control; D017722:Hospital Charges; D006801:Humans; D008485:Medical Audit; D008499:Medical Records; D008875:Middle Aged; D009104:Multiple Trauma / Q000191:economics / Q000628:therapy*; D010343:Patient Admission; D010865:Pilot Projects; D012189:Retrospective Studies