Performance Improvement (PI) Monitoring

POPULATION OF INTEREST

Patients with long-bone fractures of the extremities (femur, tibia, humerus, radius, ulna).

INTENT (EXPECTED OUTCOMES)

1. All patients in the population of interest have a neurovascular exam documented at every role of care.
2. All patients in the population of interest have fractures stabilized (splinted or external fixator placement) prior to transport from the first surgical capability.

PERFORMANCE/ADHERENCE METRICS

- All long-bone extremity fractures are stabilized by splinting or external fixation prior to movement from a surgical capability.
- Neurovascular examination is documented for all extremity fractures.
- Casualties with fractures and vascular injury in the same extremity (i.e. vascular injury associated with fracture) who underwent vascular shunt or vascular repair also received external fixation.
- Number and percentage of patients in the population of interest who have a neurovascular exam documented at every role of care.
- Number and percentage of patients in the population of interest who have fractures stabilized (splinted or ex-fixed) prior to transport from first surgical capability.

DATA SOURCE

- Patient Record
- Department of Defense Trauma Registry (DoDTR)

SYSTEM REPORTING & FREQUENCY

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

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

RESPONSIBILITIES

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