PERFORMANCE IMPROVEMENT (PI) MONITORING

INTENT (EXPECTED OUTCOMES)

1. Patient packaged to mitigate secondary injury (e.g., hypothermia prevention, hearing & eye protection, pressure injury prevention).
2. Completion of lifesaving interventions prior to transport.
3. MIST report given by the initiating team to the transport team.
4. All lines and tubes secured (e.g., endotracheal tube, intravenous line, Foley catheter, chest tube).
5. Vascular access immediately available.

PERFORMANCE / ADHERENCE MEASURES

1. Complete documentation of patient packaging measures.
2. Complete documentation of clinical procedures completed prior to transport.
3. Documentation of MIST report from the initiating team to the transport team.

DATA SOURCE

1. Patient record DD FORM 1380 or other relevant patient document.
2. Department of Defense Trauma Registry

SYSTEM REPORTING & FREQUENCY

The above constitutes the minimum criteria for PI monitoring of this CPG. System reporting will be performed annually; additional PI monitoring and system reporting may be performed as needed.

The system review and data analysis will be performed by the JTS Chief and the JTS PI team.

RESPONSIBILITIES

It is the ERC team leader’s responsibility to ensure familiarity, appropriate compliance, and PI monitoring at the local level with this CPG.