Measuring the Impact of Trauma in Greece: A Systematic Review of Greek Trauma Registries. Is Quality Improvement Achievable?

Measuring the Impact of Trauma in Greece: A Systematic Review of Greek Trauma Registries. Is... Hellenic Journal of Surgery (2018) 90:2, 62 EDITORIAL Measuring the Impact of Trauma in Greece: A Systematic Review of Greek Trauma Registries. Is Quality Improvement Achievable? Velmahos GC "If you can't measure it, you can't improve it" is the quote of care have never been measured in a standardized fashion. by Peter Drucker, a management philosophist who propelled Without measurements and metrics, we cannot examine the the need for accurate databases and quality improvement outcomes, we cannot improve the care. Without it, more processes in the business world. Medicine is no different. Greeks, especially young Greeks, are destined to die or be In the absence of registries that record outcomes, we are severely disabled. destined to repeat the errors of the past and never correct There is little doubt that organized trauma systems re- them. Trauma care in Greece is a major, probably the most quire human and financial commitment. While the human important, health problem, as it affects every Greek citizen, factor has never been in question, the finances are hard to irrespective of age, gender, or socioeconomic status. Sadly, commit during the current economic crisis. However, a the most dynamic and productive part of the population, country has to rely on its robust and healthy population to including young Greeks from 1 to 45 years of age, is af- produce, advance, and prosper. When young citizens are fected disproportionately by trauma. Despite the laudable removed from the social fabric due to preventable reasons, efforts of isolated groups, trauma care is disorganized and the prospect of national improvement is compromised. I inadequate. There is a continuum in trauma care that spans see the development of a trauma system for all Greeks as from prehospital protocols to in-hospital care, rehabilita- a priority beyond just the confines of health policy; I see tion, and re-integration into society. To practice these steps it as a priority of major national importance. To convince responsibly, a national trauma system is required. The those in power about the need to focus on this goal, we presence of trauma systems, trauma centers, and trauma must record and analyze credible data. The current study teams has irrefutably proven to save lives. Unfortunately, reminds us painfully that this is not being done. The authors our country has none! of this article, along with all the other authors of the articles The authors of this important article summarize the at- included in this article, should be congratulated for uncov- tempt by a few, heroic, medical and epidemiological teams ering the problem but the question remains: Now what? to capture the problem of trauma in Greece [1]. With little or no funding, with little or no governmental support, and with little or no audience to take notice, these groups have References tried to create rudimentary trauma registries. Inevitably, the efforts have not led to measurable benefits and have been 1. Prionas A, Toulias A, Tsoulfas G, et al. Measuring the Impact eventually forgotten. The current paper reminds us that of Trauma in Greece: A Systematic Review of Greek Trauma two thirds of trauma patients in Greece suffer road traffic Registries. Is Quality Improvement Achievable?. Hellenic J Surg 2018;90:75-84. accidents or falls, and that morbidity, mortality, and process Velmahos GC, MD, FACS, FRCS, FCCM John F. Burke Professor of Surgery, Harvard Medical School, Chief - Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, Boston, Massachusetts Corresponding author: Velmahos C George MD, FACS, FRCS, FCCM Harvard Medical School, Chief - Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, Boston, Massachusetts e-mail: gvelmahos@partners.org Hellenic Journal of Surgery 90 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Hellenic Journal of Surgery Springer Journals

Measuring the Impact of Trauma in Greece: A Systematic Review of Greek Trauma Registries. Is Quality Improvement Achievable?

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Publisher
Springer Vienna
Copyright
Copyright © 2018 by Hellenic Surgical Society and Springer-Verlag GmbH Austria, part of Springer Nature
Subject
Medicine & Public Health; Surgery
ISSN
0018-0092
eISSN
1868-8845
D.O.I.
10.1007/s13126-018-0440-8
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Abstract

Hellenic Journal of Surgery (2018) 90:2, 62 EDITORIAL Measuring the Impact of Trauma in Greece: A Systematic Review of Greek Trauma Registries. Is Quality Improvement Achievable? Velmahos GC "If you can't measure it, you can't improve it" is the quote of care have never been measured in a standardized fashion. by Peter Drucker, a management philosophist who propelled Without measurements and metrics, we cannot examine the the need for accurate databases and quality improvement outcomes, we cannot improve the care. Without it, more processes in the business world. Medicine is no different. Greeks, especially young Greeks, are destined to die or be In the absence of registries that record outcomes, we are severely disabled. destined to repeat the errors of the past and never correct There is little doubt that organized trauma systems re- them. Trauma care in Greece is a major, probably the most quire human and financial commitment. While the human important, health problem, as it affects every Greek citizen, factor has never been in question, the finances are hard to irrespective of age, gender, or socioeconomic status. Sadly, commit during the current economic crisis. However, a the most dynamic and productive part of the population, country has to rely on its robust and healthy population to including young Greeks from 1 to 45 years of age, is af- produce, advance, and prosper. When young citizens are fected disproportionately by trauma. Despite the laudable removed from the social fabric due to preventable reasons, efforts of isolated groups, trauma care is disorganized and the prospect of national improvement is compromised. I inadequate. There is a continuum in trauma care that spans see the development of a trauma system for all Greeks as from prehospital protocols to in-hospital care, rehabilita- a priority beyond just the confines of health policy; I see tion, and re-integration into society. To practice these steps it as a priority of major national importance. To convince responsibly, a national trauma system is required. The those in power about the need to focus on this goal, we presence of trauma systems, trauma centers, and trauma must record and analyze credible data. The current study teams has irrefutably proven to save lives. Unfortunately, reminds us painfully that this is not being done. The authors our country has none! of this article, along with all the other authors of the articles The authors of this important article summarize the at- included in this article, should be congratulated for uncov- tempt by a few, heroic, medical and epidemiological teams ering the problem but the question remains: Now what? to capture the problem of trauma in Greece [1]. With little or no funding, with little or no governmental support, and with little or no audience to take notice, these groups have References tried to create rudimentary trauma registries. Inevitably, the efforts have not led to measurable benefits and have been 1. Prionas A, Toulias A, Tsoulfas G, et al. Measuring the Impact eventually forgotten. The current paper reminds us that of Trauma in Greece: A Systematic Review of Greek Trauma two thirds of trauma patients in Greece suffer road traffic Registries. Is Quality Improvement Achievable?. Hellenic J Surg 2018;90:75-84. accidents or falls, and that morbidity, mortality, and process Velmahos GC, MD, FACS, FRCS, FCCM John F. Burke Professor of Surgery, Harvard Medical School, Chief - Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, Boston, Massachusetts Corresponding author: Velmahos C George MD, FACS, FRCS, FCCM Harvard Medical School, Chief - Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, Boston, Massachusetts e-mail: gvelmahos@partners.org Hellenic Journal of Surgery 90

Journal

Hellenic Journal of SurgerySpringer Journals

Published: Jun 4, 2018

References

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