Utilize the Modified Delphi Technique to Develop Trauma Care Indicators
Prapaporn Suwaratchai Msc*, Pornchai Sithisarankul MD*, Jiruth Sriratanban MD*, Dhiraphol Chenvidhya MD**, Wimonwan Phonburee***
Affiliation : * Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok ** National Health Security Office, Ubon Ratchathani Branch, Ubon Ratchathani *** Sappasittiprasong Hospital, Ubon Ratchathani
Objective : Develop performance indicators reflecting the quality of trauma-patient-care in the emergency
room and hospitalization within the first 48 hours.
Material and Method: A two-round Delphi technique was conducted. A panel of 11 expert surgeons experienced
in the fields of trauma care was consulted. The panel was initially asked to rate performance indicators that
reflected the quality of trauma care given in the emergency department setting and hospitalization in the first
48 hours using a 5-point on visual analogue scale. The statement of indicators that was collected from the first
round was analyzed and necessary changes were before resending to the same experts. Each indicator statement
was considered consensus if the expert’s opinion rating was 4 or 5 for more than 70% (8 out of 11 experts).
Results : Fifty-three performance indicators were proposed in four domains of trauma care in emergency room
and four domains of trauma care in hospitalization within 48 hours. Altogether 35 indicators reached consensus
reflecting quality of trauma performance after two rounds. Twenty-one of these were trauma care indicators in
emergency room and 14 were trauma care indicators in hospitalization within 48 hours.
Conclusion : Twenty-one indicators of quality of trauma care in the emergency room and 14 in the hospitalization
within 48 hours have been developed. They will be used as the tool by specialist for quality evaluation in the
next phase.
Keywords : Trauma care, Performance indicator, Delphi technique
