NSW ITIM conducts a number of projects to address issues identified by our trauma community and other stakeholders. Below is a outline of our current projects.
NSW Trauma Services Model of Care
The document, titled Improving the Quality of Trauma Care in NSW: Trauma Services Model of Care outlines role delineation, performance indicators and appropriate resources within regional and major trauma services.
The driver for this initiative has been unwarranted clinical variation with respect to risk adjusted mortality and rates of serious clinical incidents and root cause analyses across the NSW Trauma System. In addition, there has been uncertainty within individual trauma services regarding appropriate models of care and the role of external benchmarking through the Royal Australasian College of Surgeons.
Implementation of the Trauma Services Model of Care into the Local Health Districts involves a number of phases:
- Dissemination and communication of the model of care
- Trauma Services conducting a self assessment using the Trauma Capability Framework Assessment Tool
- External trauma verification of NSW trauma networks
Current status: Implementation phase 3 - external trauma verification
NSW Trauma Outcomes Registry and Quality Evaluation (TORQUE)
The NSW Trauma Outcomes Registry and Quality Evaluation (TORQUE) database aims to implement a secure state-wide trauma treatment and clinical quality outcomes registry to support trauma services and monitor quality of trauma care in NSW. The registry will provide valuable information regarding outcomes and quality of care delivered to severely injured patients, their health and well-being in the community after discharge from hospital. The over-riding aim is to provide data that will enable targeted quality improvement interventions within the trauma system to reduce the heavy burden of severe injury in NSW.
TORQUE consists of two main components:
- A re-design of the current NSW Trauma Registry including linkage to the eMR.
- A new Trauma Patient Reported Measures (PRM) program to be linked to the NSW Trauma Registry.
Current status: Pilot of the Trauma PRM program
NSW major trauma death review and monitoring program
This program, a major initiative of ITIM and the Clinical Review Committee, consists of a process to standardise trauma death reviews at a state level. It will link numerous data sources in order to gain a comprehensive picture of the circumstances surrounding the deaths of trauma patients and identify any statewide issues.
Current status: Commenced used of standardised trauma death review form in Jan 2021.
NSW Trauma App
ITIM has developed a clinical support tool, known as NSW Trauma App, that provides a 'one stop' resource to assist clinicians in caring for the traumatically injured patients from the initial resuscitation to stabilisation and transfer to a regional or major trauma service with the aim in reducing unwarranted clinical variation with assistance of up to date, evidence based information to deliver optimal care to trauma patients.
ITIM, in collaboration with the ACI web team, have developed the Information system for Trauma, Retrieval and Critical Care (iTRACC) website (restricted access).
iTRACC supports time critical decision making. This is achieved by providing easy to use clinical and logistic information on NSW and cross border services and assets, presented in a geospatial web based format.
Current status: Version 2. Live
Trauma e-Learning Modules
ITIM is developing virtual learning and clinical support environments to work in conjunction with the ITIM website and ACI Moodle site to provide streamlined access to all trauma clinicians in NSW, irrespective of location and profession that will aid in care of traumatically injured patients. The e-Learning program will be developed with the goal of the modules being hosted on the HETI My Health Learning site.
Current status: 1 module published, 2 modules developed and are being reviewed.
Live streaming of education events
In response to clinician’s requests for post-event recordings of presentations and to improve access for clinicians to access Free Online Access Medical-education (FOAM), ITIM provides live streaming and recordings of trauma evenings, readily available in high definition on desktop computers, smart televisions, tablet computers and smart phones through the ITIM events webpage.
Current status: Business as usual - ongoing for all future events.
Injury prevention programs
ITIM partners with multiple injury prevention programs including:
- bstreetsmart provides students who are most at risk, a realistic look at the trauma caused by road crashes and gives them information and strategies in an attempt to reduce serious injuries and deaths.
- The P.A.R.T.Y. (Prevent Alcohol and Risk-Related Trauma in Youth) Program is a one day program which allows students to see first-hand the consequences of risk- taking behaviors in everyday life.
Current status: Ongoing annual support.