Trauma care audit using Srinagarind hospital's audit filter.
BACKGROUND
To audit trauma care (including the mortality rate and obstacles faced by the authors) at Srinagarind (University) Hospital using the trauma audit filter.


METHODS
Conduct a prospective, descriptive, study of trauma patients who received trauma medical care at Srinagarind Hospital, Khon Kaen University, Thailand, between January and May 2006. Srinagarind Hospitals trauma audit filter was used to audit trauma care. The audit filter comprised 14 criteria (i.e., 1) emergency medical service; 2) accident and emergency out-patient service; 3) in-patient service). Any filter that generated a "Yes" response was investigated to find the reason(s). The obstacles and mortality were also recorded.


RESULTS
The authors enrolled 3209 patients. The mortality rate was 0.5% (95% CI 0.3-0.8). Emergency medical service, accident and emergency out- and in-patient service were rated satisfactorily. The reported obstacles were lack of hospital beds, inappropriate locale for trauma care, financial process, admission process, and lack of equipment.


CONCLUSIONS
Srinagarind Hospital's audit filter had the capability to audit trauma care. Overall trauma care at Srinagarind Hospital was satisfactory albeit improvements are needed.
Boonmak
Polpun
P
Department of Anesthesiology Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Thanapaisal
Chaiyut
C
Techa-atik
Panor
P
Kanya
Wangsri
W
Suntaraporn
Wunsupong
W
D015998:Abbreviated Injury Scale; D016001:Confidence Intervals; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D008297:Male; D008485:Medical Audit / Q000706:statistics & numerical data*; D009026:Mortality / Q000639:trends*; D010865:Pilot Projects; D011446:Prospective Studies; D011787:Quality of Health Care / Q000592:standards*; D013785:Thailand; D014193:Trauma Centers / Q000706:statistics & numerical data*; D014947:Wounds and Injuries / Q000453:epidemiology*