A key administrative function used to strengthen trauma care is the quality improvement (QI) program, also known as quality assurance, medical audit or continuous quality improvement. QI programs have been shown to be important components of the functioning of trauma centres and trauma systems in high income countries. They have also shown promise as a means to lower trauma mortality at an affordable cost and in a sustainable fashion in the setting of low- and middle-income countries (LMICs). However, few formal trauma-related QI programs are in place in LMICs.
Key Objectives & Outcomes
The World Health Organisation (WHO) course on trauma QI was conducted in two locations:
1. Mashad, Iran, in February 2013. The faculty were Dr Manjul Joshipura, Dr Gerard O’Reilly, Dr Ranjith Ellawala and Dr Wittaya Chadbunchachai.
2. Tehran, Iran, on 8 and 9 June 2015. The faculty were Dr Manjul Joshipura and Dr Gerard O’Reilly. This was a collaborative undertaking of the Ministry of Health of Iran and WHO.
This course sought to promote better understanding of the field of QI, to provide training on straightforward and practical techniques such as preventable death reviews and to discuss with participants ideas on future development of trauma QI and related training in Iran. The target audiences for the June 2015 course were emergency physicians from university and other hospitals caring for large numbers of trauma patients and the staff in the Ministry of Health who deal with trauma and/or trauma QI activities. 60 participants completed the program.