Stabilising a patient within a trauma bay places immense pressure on trauma bay staff.
Each year there are more than 1,100 major trauma patients, those patients with injuries that can cause death or disability, presenting to the Alfred Trauma Service. For each patient, any mistake by trauma bay staff could mean death and in the first 30 minutes of arriving at the Trauma Centre each moment counts. Staff are highly trained and experienced to deal with situations like this, following procedures and process. Even so, with multiple staff, highly stressful environments and the pressure to stabilise patients, sometimes errors do occur. These are errors of omission - where a step or process is left out.
"The TR&R has entrenched The Alfred Hospital’s goal of error-free resuscitation in the treatment and management of trauma patients. We have observed a 21% reduction in errors of omission, 30% reduction in blood transfusions, and significant reductions in the time spent in ICU."
Professor Mark Fitzgerald, Director of Trauma Services – The Alfred Hospital
The Trauma Reception and Resuscitation System (TR&R) is a system designed to aid and support highly trained staff to stabilize and treat major trauma patients within the first 30 minutes of a patient arriving at the Trauma Centre. To do this, TR&R is designed to monitor patient data, such as vital signs and diagnosis information, and provide advice and treatment options based on hospital procedures and guidelines created in the accompanying Medical Algorithm Builder. These recommendations are displayed on a large screen, visible to all staff, and acts as a decision support system to reduce errors of omission.
In a two year independent study, following the deployment of the TR&R system, it was revealed that there was a 21% reduction in errors by omission, a 30% reduction in blood transfusion and the time required for treatment in the Intensive Care Unit was reduced by 26 hours.