ACS resources for optimal trauma care | WHO guidelines for essential trauma care | WHO guidelines for pre-hospital trauma system | WHO emergency care system assessment tool | |
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Stated purpose of the instrument | Guidelines for care of injured patients/trauma center verification | Guidelines to improve trauma care at facility level | Guidelines for planning and implementing trauma care in pre-hospital phase | To help policy-makers and planners assess a national or regional emergency care system |
Unit | State/regional trauma system | Health care facilities of different level | Pre-hospital trauma system | Health system |
Dimensions/input | Trauma center designation, pre-hospital care, transfer, clinical functions, trauma registry, performance improvement, disaster planning, etc. | 14 aspects of clinical care including different injuries, diagnostic modalities, medicines, and rehabilitation, etc. | Seven key inputs, e.g., system models, providers, resource matrix, transport, communication, etc. | 11 domains including trauma system organization, governance, financing, transport, facility-based care, surge capacity, etc. |
Data collection methods | Onsite review of hospital for optimal resource verification | Survey or interview-based assessment | Survey or interview-based assessment | Survey of policy makers and administrators |
Selected Indicators | Type I and type II indicators, where type I are deemed essential: patient safety, surgical functions, trauma patient volume, in-house attending | Knowledge/skill and equipment/ supplies for each category | Resource matrix including knowledge/skill and equipment/supplies | Lead agency, proportion of facilities with designated emergency unit, or 24-h dedicated staff, number of ambulances |
Scope | Trauma center accreditation according to different levels of care | Assessment of level of care provided at each facility | Status of pre-hospital trauma care based on availability of essential, desirable and relevant skills and resources | Status of emergency care systems for policy and planning; identification of gaps and setting priorities for system development |