Trauma Care Audit Using Srinagarind Hospital’s Audit Filter
Polpun Boonmak MD*, Chaiyut Thanapaisal MD**, Panor Techa-atik BSc (Nursing), MSN ***, Kanya Wangsri BSc (Nursing), MA (library and information science)****, Suntaraporn Wunsupong BSc (Nursing)***
Affiliation : * Department of Anesthesiology, Faculty of Medicine, Khon Kaen University, Khon Kaen ** Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen *** Accident and Emergency Out-patient Ward, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen **** Emergency Medical Service, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen
Background : To audit trauma care (including the mortality rate and obstacles faced by the authors) at
Srinagarind (University) Hospital using the trauma audit filter.
Material and Method: Conduct a prospective, descriptive, study of trauma patients who received trauma
medical care at Srinagarind Hospital, Khon Kaen University, Thailand, between January and May 2006.
Srinagarind Hospital’s trauma audit filter was used to audit trauma care. The audit filter comprised 14
criteria (i.e., 1) emergency medical service; 2) accident and emergency out-patient service; 3) in-patient
service). Any filter that generated a “Yes” response was investigated to find the reason(s). The obstacles and
mortality were also recorded.
Results : The authors enrolled 3209 patients. The mortality rate was 0.5% (95% CI 0.3-0.8). Emergency
medical service, accident and emergency out- and in-patient service were rated satisfactorily. The reported
obstacles were lack of hospital beds, inappropriate locale for trauma care, financial process, admission
process, and lack of equipment.
Conclusions: Srinagarind Hospital’s audit filter had the capability to audit trauma care. Overall trauma care
at Srinagarind Hospital was satisfactory albeit improvements are needed.
Keywords : Injuries, Trauma centers, Medical audit, Trauma audit filter
