Influence of Autopsy Reports on Trauma Registry Accuracy
The objective of this study was to determine whether and how autopsy data improve the accuracy of the trauma registry data. The population included in the study was seen in the emergency department between January 2014 and August 2017 after a traumatic injury who expired on arrival, while in the ED, or within 48 hr of arrival. The ISS of each case was calculated prior to autopsy report and then adjusted according to autopsy data. The magnitude of this change was then compared. The mean ISS of these cases without autopsy data was 13, whereas the mean ISS of these cases including autopsy data was 49 (p ≤ .001). The mean IS...
Source: Journal of Trauma Nursing - March 1, 2019 Category: Nursing Tags: RESEARCH Source Type: research
Building a Case for Pediatric Fall Prevention
No abstract available (Source: Journal of Trauma Nursing)
Source: Journal of Trauma Nursing - March 1, 2019 Category: Nursing Tags: CE Tests Source Type: research
Building a Case for Pediatric Fall Prevention
Falls are the leading cause of traumatic injury and injury-related emergency department visits in the state of Minnesota for children aged 0–14 years. We hypothesize that few of the Minnesota trauma centers and public health departments responsible for injury prevention (IP) efforts in the community are focusing on fall prevention interventions for children. The purpose of this study was to examine the current state of childhood IP interventions in Minnesota, identify potential partners to collectively address pediatric fall prevention, and utilize survey results to lead future IP efforts. An electronic survey was admini...
Source: Journal of Trauma Nursing - March 1, 2019 Category: Nursing Tags: PEDIATRICS Source Type: research
Decreased Pediatric Trauma Length of Stay and Improved Disposition With Implementation of Lewin's Change Model
Although often cared for nonoperatively, trauma is a surgical disease managed by surgical services in a multidisciplinary manner. The American College of Surgeons Committee on Trauma (ACS COT) emphasizes this as part of the ACS COT verification process and expects nonsurgical service admission rate of less than 10%. In this project, we developed a collaborative care model captained by surgical services with medical service consultation to achieve this goal for optimal care of injured patients. The project was conducted at a freestanding pediatric trauma center undergoing verification as a Level 1 ACS COT pediatric trauma c...
Source: Journal of Trauma Nursing - March 1, 2019 Category: Nursing Tags: QUALITY IMPROVEMENT Source Type: research
Erratum
No abstract available (Source: Journal of Trauma Nursing)
Source: Journal of Trauma Nursing - March 1, 2019 Category: Nursing Tags: ERRATUM Source Type: research
Prepared to Care: An Exploration of Continuing Education Trends of Nurses Caring for Injured Children
The significance of nursing competence in the care of pediatric trauma patients has been well documented. Continuing education for trauma nurses is a critical component of maintaining competence in pediatric trauma care; yet, there is significant variability in the programs and resources used to support this goal. The purpose of this current study was to describe the educational activities that practicing registered nurses engage in to inform their care of injured children. A quantitative, descriptive nonexperimental research design was utilized to describe the educational programs that members of the Society of Trauma Nur...
Source: Journal of Trauma Nursing - March 1, 2019 Category: Nursing Tags: RESEARCH Source Type: research
Development and Implementation of a Pediatric Trauma Survivors Network Program
This article describes the development and implementation of the program; we did not assess outcomes. (Source: Journal of Trauma Nursing)
Source: Journal of Trauma Nursing - March 1, 2019 Category: Nursing Tags: PEDIATRICS Source Type: research
Education Empowers Emergency Department Nurses During Pediatric Traumas
No abstract available (Source: Journal of Trauma Nursing)
Source: Journal of Trauma Nursing - March 1, 2019 Category: Nursing Tags: CE Tests Source Type: research
Education Empowers Emergency Department Nurses During Pediatric Traumas
This study reviews the preliminary findings of the program. Surveys were administered after each teaching session to participating ETA nurses to determine their personal academic interests and how to improve the program. We then performed a retrospective review of pediatric trauma admissions from January 2017 through April 2017 to delineate the most common injury patterns. Survey responses demonstrated the greatest nursing interest in learning critical care (n = 11), orthopedic management (n = 11), and neurosurgical trauma education (n = 9). During this study period, 113 pediatric patients arrived and had a mean age of 7.8...
Source: Journal of Trauma Nursing - March 1, 2019 Category: Nursing Tags: QUALITY IMPROVEMENT Source Type: research
Pediatric Trauma
No abstract available (Source: Journal of Trauma Nursing)
Source: Journal of Trauma Nursing - March 1, 2019 Category: Nursing Tags: GUEST EDITORIAL Source Type: research
The Power of Trauma Nursing
No abstract available (Source: Journal of Trauma Nursing)
Source: Journal of Trauma Nursing - March 1, 2019 Category: Nursing Tags: PRESIDENT'S MESSAGE Source Type: research
Evaluation of Functional Outcomes for Adult Patients After Distal Radius Fracture Treated With Volar Plate Fixation Versus Nonsurgical Care
Distal radius fractures are one of the most common fractures patients experience. Although there are a variety of treatments, there is a lack of standardization as it relates to treatment of such fractures. The purpose of this study was to compare treatment outcomes between surgical and nonsurgical care of distal radius fractures to inform evidence-based guidelines for the management of distal radius fractures. A retrospective chart analysis was performed in the public university hospital setting on a sample of 60 patient health records divided equally into those treated surgically and nonsurgically. Data were analyzed rel...
Source: Journal of Trauma Nursing - January 1, 2019 Category: Nursing Tags: RESEARCH Source Type: research
Increasing Referrals to a Community Paramedicine Fall Prevention Program Through Implementation of a Daily Management System
No abstract available (Source: Journal of Trauma Nursing)
Source: Journal of Trauma Nursing - January 1, 2019 Category: Nursing Tags: CE Tests Source Type: research
Increasing Referrals to a Community Paramedicine Fall Prevention Program Through Implementation of a Daily Management System
This quality improvement project was undertaken to improve trauma service referral compliance to an existing home-based elderly fall prevention program through the implementation of a daily management system (DMS). Operational excellence, a hospital-wide initiative, provided the foundation for improvement efforts. This initiative went through a series of 5 plan, do, study, and act (PDSA) cycles and demonstrated significant improvement in referrals from 0% to 100%. Compliance with referrals after the retirement of the key performance indicator remained high at 95.5%. Results from this project provided support for the framew...
Source: Journal of Trauma Nursing - January 1, 2019 Category: Nursing Tags: QUALITY IMPROVEMENT Source Type: research
A Psychometric Analysis of CIWA-Ar in Acutely Ill and Injured Hospitalized Patients
Alcohol withdrawal syndrome (AWS) manifests after alcohol-dependent individuals suddenly cease alcohol consumption. Clinical Institute Withdrawal Assessment-Alcohol, revised (CIWA-Ar) is a widely used tool to assess and guide treatment of AWS. CIWA-Ar was developed in voluntarily detoxification centers, and the reliability and validity of CIWA-Ar have been minimally evaluated in hospitalized patients. We performed a retrospective chart review of 479 cases of screening and treatment of AWS using CIWA-Ar, of which 118 were admitted to a trauma/orthopedic (T/O) service and 361 to an internal medicine (IM) service. Exploratory...
Source: Journal of Trauma Nursing - January 1, 2019 Category: Nursing Tags: RESEARCH Source Type: research
