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Quality assessment in initial paediatric trauma care : Systematic review from prehospital care to the paediatric intensive care unit

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Quality assessment in initial paediatric trauma care : Systematic review from prehospital care to the paediatric intensive care unit

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dc.contributor.author Sainz Rozas, Pablo Buck
dc.contributor.author Casal Angulo, María del Carmen
dc.contributor.author García Molina, Pablo
dc.date.accessioned 2023-10-26T16:30:14Z
dc.date.available 2023-10-26T16:30:14Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/10550/90720
dc.description.abstract Background Trauma is the most common cause of death and disability in the paediatric population. There are a huge number of variables involved in the care they receive from health care professionals. Aim The aim of this study was to review the available evidence of initial paediatric trauma care throughout the health care process with a view to create quality indicators (QIs). Study Design A systematic review was performed from Cochrane Library, Medline, Scopus and SciELO between 2010 and 2020. Studies and guidelines that examined quality or suggested QI were included. Indicators were classified by health care setting, Donabedian's model, risk of bias and the quality of the publication with the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) assessment. Results The initial search included 686 articles, which were reduced to 22, with 15 primary and 7 secondary research articles. The snowball sampling technique was used to add a further seven guidelines and two articles. From these, 534 possible indicators were extracted, summarizing them into 39 and grouping the prehospital care indicators as structure (N = 5), process (N = 12) and outcome (N = 3) indicators and the hospital care indicators as structure (N = 4), process (N = 10) and outcome (N = 6) indicators. Most of the QIs have been extracted from US studies. They are multidisciplinary and in some cases are based on an adaptation of the QIs of adult trauma care. Conclusions There was a clear gap and large variability between the indicators, as well as low-quality evidence. Future studies will validate indicators using the Delphi method. Relevance to Clinical Practice Design a QI framework that may be used by the health system throughout the process. Indicators framework will get nurses, to assess the quality of health care, detect deficient areas and implement improvement measures.
dc.language.iso eng
dc.relation.ispartof Nursing In Critical Care, 2023
dc.source Sainz Rozas, Pablo Buck Casal Angulo, María del Carmen García Molina, Pablo 2023 Quality assessment in initial paediatric trauma care : Systematic review from prehospital care to the paediatric intensive care unit Nursing In Critical Care
dc.subject Pediatria intensiva
dc.subject Atenció primària pediàtrica
dc.title Quality assessment in initial paediatric trauma care : Systematic review from prehospital care to the paediatric intensive care unit
dc.type journal article
dc.date.updated 2023-10-26T16:30:14Z
dc.identifier.doi 10.1111/nicc.12970
dc.identifier.idgrec 161586
dc.rights.accessRights open access

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