San Francisco General Hospital and Trauma Center Robert Mackersie - - PowerPoint PPT Presentation

▶

Dec 27, 2022 489 likes •692 views

San Francisco General Hospital and Trauma Center Robert Mackersie MD FACS Trauma Medical Director Patti OConnor RN MS Trauma Program Manager Trauma Leading cause of death, ages 1 44 Leading cause of productive years of life

SLIDE 1

San Francisco General Hospital and Trauma Center

Robert Mackersie MD FACS

Trauma Medical Director

Patti O’Connor RN MS

Trauma Program Manager

SLIDE 2

“A Disease of the Young”

Leading cause of

death, ages 1 – 44

Leading cause of

productive years of life lost

180,000 deaths/year
400,000 disabled/year
Accounts for billions
f dollars in

healthcare costs

Trauma

SLIDE 3

San Francisco General Hospital and Trauma Center History

1972: National Institute of Health (NIH) Designated

Trauma Research Center

1991 – present: Designated Level I Trauma Center by

San Francisco EMSA

1993 – present: ASCOT Level I Verification
2003 – present: Nationally Recognized as a Leader in

Trauma Treatment, Trauma Research, Trauma Prevention

SLIDE 4

SFGH is the only Trauma Center in San Francisco Provider of Trauma Care for Northern San Mateo County

Level I Trauma Center

SLIDE 5

Trauma Care is a Team Effort

TRAUMA CARE

NURSING EMERGENCY MEDICINE RADIOLOGY NEUROSURGERY PHARMACY ORTHOPEDICS LAB & BLOOD BANK DIETARY ANESTHESIOLOGY INJURY PREVENTION PROGRAMS OUTPATIENT CLINICS TRAUMA NURSE PRACTITIONERS NSU NURSE PRACTITIONERS GENERAL SURGERY REHABILITATION CRITICAL CARE & SUBSPECIALTIES SOCIAL SERVICES

SLIDE 6

Performance Improvement

Trauma Treatment
Identifies variations in the process / outcome of care
Public Health Information / Injury Prevention
Incidence, care, cost, outcome in region / state
Outcomes Research
Cause of death, disability, trends
Resource Utilization
Justify institutional / government funding / support

SLIDE 7

Priorities in Trauma Treatment

↓ Deaths ↓ Morbidity Optimize Recovery Maximize Cost Effectiveness

SLIDE 8

Trauma Patient Volume

Admitted ED Discharged

SLIDE 9

Traumatic Injury Types

Blunt Penetrating Thermal

SLIDE 10

Patient Injury Types

SLIDE 11

Trauma Patient Acuity

SLIDE 12

Mechanism of Injury

SLIDE 13

SFGH Trauma Deaths

by Mechanism of Injury

SLIDE 14

Trauma Program Performance Improvement

Internal

Weekly Monthly Biannually Annually M & M ED/Trauma PI Performance Improvement & Patient Safety Medical Executive Committee, JCC NP/TMD/Trauma Program Staff Trauma Peer Review Trauma System PI As Needed: Risk Management / Sentinel Event Review

External

Title 22 Regulations EMSA Contract American College Surgeons, COT State and National Trauma Data Base

SLIDE 15

Key Performance Improvement Initiatives

Massive Transfusion Protocol
CT scan prioritization
Revised Trauma Team Activation Criteria
Trauma Nurse Practitioners

SLIDE 16

Trauma Prevention and Research

San Francisco Injury Center for Research and Prevention Wraparound Violence Prevention Program

SLIDE 17

Every Agency Every Discipline Every Service Every Department Every Person Who Cares for Injured Patients Directly and Indirectly Throughout the Trauma Continuum Is a vital member of San Francisco General Hospital’s

“Team for Life”

SLIDE 18