Trauma video review utilization: A survey of practice in the United States

Trauma video review (TVR) for quality improvement and education in the United States has been described for nearly three decades. The most recent information on this practice indicated a declining prevalence. We hypothesized that TVR utilization has increased since most recent estimates. We conducte...

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Bibliographic Details
Published in:The American journal of surgery Vol. 219; no. 1; pp. 49 - 53
Main Authors: Dumas, R.P., Vella, M.A., Hatchimonji, J.S., Ma, L., Maher, Z., Holena, D.N.
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01.01.2020
Elsevier Limited
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ISSN:0002-9610, 1879-1883, 1879-1883
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Summary:Trauma video review (TVR) for quality improvement and education in the United States has been described for nearly three decades. The most recent information on this practice indicated a declining prevalence. We hypothesized that TVR utilization has increased since most recent estimates. We conducted a survey of TVR practices at level I and level II US trauma centers. We distributed an electronic survey covering past, current, and future TVR utilization to the Eastern Association for the Surgery of Trauma membership. 45.0% of US level I and level II trauma centers completed surveys. 71/249 centers (28.5%) had active TVR programs. The use of TVR did not differ between level I and level II centers (28.8% vs. 27.8%, p = 0.87). Respondents using TVR were overwhelmingly positive about its perception (median score 8, [IQR 6–9]; 10 = ‘best’) at their institutions. TVR use at Level I centers has increased over the past decade. Increased TVR utilization may form the basis for multicenter studies comparing processes of care during trauma resuscitation. •The use of trauma video review has increased over the past decade.•Users find the technology highly useful and reliable.•Medicolegal concerns about trauma video review utilization are not substantiated by active trauma video review users.
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Dumas RP participated in study design, data collection, data analysis and writing of the manuscript. Vella MA participated writing of the manuscript, data collection and study design. Hatchimonji J participated in study design, data collection and review of the manuscript. Ma L, participated in data collection. Maher Z, participated in study design. Holena DN participate in study design, data collection, data analysis and writing of the manuscript.
Author contributions
ISSN:0002-9610
1879-1883
1879-1883
DOI:10.1016/j.amjsurg.2019.08.025