Performance improvement (PI) across the continuum of trauma care is at the core of why the development of trauma centers and trauma systems has resulted in more saved lives. Identifying issues, shortcomings, poor outcomes, complications, lack of timeliness of care, incorrect care, and failure to adhere to established treatment guidelines and protocols is the essence of performance improvement. First, identify the issue and come up with a solution, then make sure the implementation of the solution results in the expected improvement.
Performance improvement in trauma care is poorly understood, yet it is crucial to trauma center development. Poorly executed or nonexistent PI is the main reason why trauma centers of all levels — I, II, III and IV — fail reverification or redesignation. That's why education in PI and sharing PI best practices is so important and why we have compiled the stories and updates for this newsletter.
We cannot rest on the success of today; we should not tolerate less than the best possible performance. On behalf of our injured patients, we must continue to strive to provide high-quality, safe, effective and timely care.