Trauma Statistics. April June 2017 Total Registry Patients for the Quarter: 476. Trauma Program

Transcription

1 Trauma Statistics April June 2017 Total Registry Patients for the Quarter: 476 Trauma Program

2 Registry Volume by Month Linear (2016) Jan Feb March April May June July Aug Sept Oct Nov Dec Trauma Program

3 315 (66%) (56%) 190 (40%) RACE (34%) (4%) White Black Other > Age Scene Transfer 118 (25%) 358 (75%) April - June 2017

4 Penetrating 88 (19%) Injury Etiology (32%) Blunt 387 (81%) (29%) Injury Severity Score (44%) (30%) (6%) 28 (6%) (2%) (13%) 59 (12%) 0 MVC Fall Assault MCC Ped 0 ISS 1-8 ISS 9-15 ISS ISS >25 April June 2017

5 Arrival by Day of the Week 47% arrive Friday Sunday Arrival by Hour Sat % arrive between 4pm and 8am Fri Thurs Wed Tues Mon :00-07:59 08:00-15:59 16:00-23:59 Sun April - June 2017

6 ED Disposition Hospital Disposition DEATH 3 (<1%) DEATH 26 (5%) HOME 39 (8%) LTACH 1 ( < 1%) FLOOR 182 (38%) REHAB 57 (12%) ICU 131 (28%) AMA 4 (< 1%) OR 81 (17%) HOME 320 (67%) Home represents transfers d/c from the ED April - June 2017

7 OTHER SURG Admitting Service NEURO ORTHO NON-SUG TRAUMA 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% April - June 2017

8 Non- Surgical Admission by ISS Non-Surgical Admissions (NSA) ISS >=25 Number of patients admitted to a non-surgical service Percent of total NSA Total NSA w/ trauma consult Total NSA w/any surgical consult (including trauma) Total NSA secondary to single level falls Total mortality (for each ISS category) % 5% 2% April - June 2017

9 Hospital Length of Stay (days) ICU Length of Stay (days) >8 7 >8 6 5 Average LOS: 6.7 days Median: 3 days (SD 11.6) Average LOS: 6.9 days 4 4 Median: 3 days (SD 12.3) April - June 2017

10 Hospital LOS (days) by Arrival Month Average Median Linear (Average ) JAN FEB MARCH A PRIL MAY JUNE JULY A UG S EPT OCT NOV D EC CY 2017

11 ICU LOS (days) by Arrival Month Average Median Linear (Average ) JAN FEB MARCH A PRIL MAY JUNE JULY A UG SEPT OCT NOV D EC CY 2017

12 Trauma Surgeon Response (Highest Level Activation) 2017 Holsten Hawkins Ferdinand O'Malley White Young Abuzeid January February March April May N/A June July August September October November December Service Response Rate: April: 97% May: 87 % June: 100 % ACS Verification Physician Timely Report (% within 15 min) Threshold: 80% Reported quarterly to the state for compliance monitoring of readiness Ref: CD 2-8

13 Average Surgeon Response Time 105% 100% 95% 90% 85% 80% Threshold 75% Jan Feb March April May June July Aug Sept Oct Nov Dec Target: 15 min response 80% of the time CY 2017

14 Over and Under Triage April - June 2017 ISS 1 to 15 ISS 16 to 75 Total with ISS Level 1 Level 2 No Activation Over Triaged Percentage: 50.0 % (Target < 35%) Under Triaged Percentage: 19.0% (Target < 10%) Ref: CD 16-7

15 Percentage Over and Under Triage % 70% 60% 50% 40% 35 % Target 30% 20% 10% 0% 5% Target Jan Feb March April May June July Aug Sept Over Triage Under Triage

16 Meeting Attendance YTD by percent Ref: CD 6-8, 7-11, 8-13, 9-16, 11-13, 11-39, 11-62, and Required Attendee Peer Review Meeting Attendance YTD, by percent Operations Meeting Attendance YTD, by Percent Trauma Panel Member 1 (CF) Trauma Panel Member 2 (AA) Trauma Panel Member 3 (MH) Trauma Panel Member 4 (SH) Trauma Panel Member 5 (KO)) Trauma Panel Member 6 (CW) Trauma Panel Member 7 (LY) Emergency Medicine Liaison (MH/SS) Orthopedic Liaison (WR) Neurosurgery Liaison (JV) Anesthesia Liaison (VK) Critical Care Liaison (KO) Radiology (JM) Threshold for meeting attendance: 50% January September 2017

17 Mortality Quarterly Summary

18 NAME TRAUMA # ISS ADMIT DATE DIED IN ED IN-HOSPITAL DEATH DOA Walker, Nigel /17/2017 X Lilly, Theodore /31/2017 X November, Trauma /22/2017 X Mattison III, James /23/2017 X Joseph Stiles /1/2017 X Watson Jr, Nolan /16/2017 X Norris, Joel /27/2017 X Quebec, TraumaTullis,Travi /8/2017 X William Stewart /26/2017 X Cooke, Gregory /15/2017 X Rodney Johnson, Papa Tra /6/2017 X Braddy, William /15/2017 X Whitaker, Carlton /18/2017 X Ready, Emma /13/2017 X Quebec, Trauma/Bay,Kaei /26/2017 X Glaze, Marvin /16/2017 X Goodin, Marvin /17/2017 X Jorgenson, Walter /21/2017 X Blount, Eddie /16/2017 X Griffin, Nicholas /23/2017 X Green, Devonte /16/2017 X Foxtrot, Trauma /30/2017 X niform, Trauma Lopez, Jair /10/2017 X Prevette, Myrtis /14/2017 X Snead, Henry /30/2017 X Gordon, Brian /11/2017 X Royer, John /22/2017 X Duplisea, Mathew /11/2017 X Total Trauma Mortality 21/ 3 with f/u Closed in 2nd Review tracking and trending Referred to Peer Review 6-1 for Nov OPS issue identified 1 April June 2017

19 Mortality Injury Severity Scale (ISS) Summary Table ISS Total Admitted Patients Admitted to the Trauma Service Total Mortalities Total Trauma Service Mortalies Percentage Trauma Mortalities Admitted to Other Service Number Other Percentage Service Mortalities Mortality DOA or ED Death % % n/a n/a 18 n/a n/a % 2 0 n/a 0 >/= % 5 1 5% 1 TOTAL % % 3 April June 2017

20 Benchmark Reporting

21 SBIRT Benchmark Tracking: SBIRT Screen for all admissions Benchmark: 80% Month # Admitted Patients # SBIRT Completions % Completion July* % August % April June 2017

22 MTP: Blood products given within 10 minutes of activation Benchmark: 80% Month # Activations Location Trauma Activation Level % Time Blood started within 10 min % Appropriate MTP Activation # Mortalities in this subset Apr-17 5 ED-4 OR-1 Level I-3 Level II- 2 80% 100% 1 May-17 9 ED-7 OR- 2 Level I- 8 78% 100% 2 Jun-17 8 ED-8 Level I- 7 Level II- 1 75% 100% 4 April June 2017

23 Neurosurgery Benchmark Tracking: GCS < 8 with Neurosurgery ED Consult 37 of the 476 (8%) registry patients had and ED GCS < 8 Of the 37 cases 100% had a Neurosurgery consult in the ED No of Cases % with NS Consult Av. ISS AV LOS ICU AV LOS Hosp # death % Death days 17 days 17 46% April June 2017

24 Orthopedic Benchmark Tracking: % patients with open Tibia Fx who receive abx within 1hr 11 of the 476 registry patients had an open Tibia fracture Of the 11 cases 7 received antibiotics within one hour of arrival Benchmark 80% Quarter report 64% April June 2017

25 IR Benchmark Tracking: Time of Notification to Time of IR Team Arrival Benchmark: 30 minute arrival 80% of the time 8 IR requests for reporting period ( July 20 Sept 29) Team arrival within 30 minute: 88% Case Time IR Notified Time IR Team Arrived Timely Time Patient Arrived to IR Precedure Start Time 1 23:15 23:45 Y 0:15 0: :40 19:05 Y 19:30 19: :31 13:31 Y 13:45 14: :35 23:00 Y 23:30 23: :06 21:36 Y 22:28 22:49 16:29 16:49 Y 17:15 17:29 8:17 8:17 Y 3:48 4:20 N 4:45 5:00