Perceived usefulness of trauma audit filters in urban India: a mixed-methods multicentre Delphi study comparing filters from the WHO and low and middle-income countries
Objective To compare experts’ perceived usefulness of audit filters from Ghana, Cameroon, WHO and those locally developed; generate context-appropriate audit filters for trauma care in selected hospitals in urban India; and explore characteristics of audit filters that correlate to perceived usefuln...
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BMJ Publishing Group
2022-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/6/e059948.full |
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| author | Max Petzold Lovenish Bains Ulf Ekelund Kapil Dev Soni Nobhojit Roy Martin Gerdin Wärnberg Swati Gupta Monty Khajanchi Anurag Mishra Jyoti Kamble Helle Mølsted Alvesson Johanna Berg Shamita Chatterjee Siddarth David Rajdeep Singh Prosanta Kumar Bhattacharjee Pawanindra Lal Vikas Malhotra Ravi Meher Lakshmeswar Nagaraj Mohan Ritu Saxena Prabhat Shrivastava Sumit Sural |
| author_facet | Max Petzold Lovenish Bains Ulf Ekelund Kapil Dev Soni Nobhojit Roy Martin Gerdin Wärnberg Swati Gupta Monty Khajanchi Anurag Mishra Jyoti Kamble Helle Mølsted Alvesson Johanna Berg Shamita Chatterjee Siddarth David Rajdeep Singh Prosanta Kumar Bhattacharjee Pawanindra Lal Vikas Malhotra Ravi Meher Lakshmeswar Nagaraj Mohan Ritu Saxena Prabhat Shrivastava Sumit Sural |
| author_sort | Max Petzold |
| collection | DOAJ |
| description | Objective To compare experts’ perceived usefulness of audit filters from Ghana, Cameroon, WHO and those locally developed; generate context-appropriate audit filters for trauma care in selected hospitals in urban India; and explore characteristics of audit filters that correlate to perceived usefulness.Design A mixed-methods approach using a multicentre online Delphi technique.Setting Two large tertiary hospitals in urban India.Methods Filters were rated on a scale from 1 to 10 in terms of perceived usefulness, with the option to add new filters and comments. The filters were categorised into three groups depending on their origin: low and middle-income countries (LMIC), WHO and New (locally developed), and their scores compared. Significance was determined using Kruskal-Wallis test followed by Wilcoxon rank-sum test. We performed a content analysis of the comments.Results 26 predefined and 15 new filter suggestions were evaluated. The filters had high usefulness scores (mean overall score 9.01 of 10), with the LMIC filters having significantly higher scores compared with those from WHO and those newly added. Three themes were identified in the content analysis relating to medical relevance, feasibility and specificity.Conclusions Audit filters from other LMICs were deemed highly useful in the urban India context. This may indicate that the transferability of defined trauma audit filters between similar contexts is high and that these can provide a starting point when implemented as part of trauma quality improvement programmes in low-resource settings. |
| format | Article |
| id | doaj-art-b63cdbf153454c96ae348b67a612a9f0 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-b63cdbf153454c96ae348b67a612a9f02025-01-28T10:55:09ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-059948Perceived usefulness of trauma audit filters in urban India: a mixed-methods multicentre Delphi study comparing filters from the WHO and low and middle-income countriesMax Petzold0Lovenish Bains1Ulf Ekelund2Kapil Dev Soni3Nobhojit Roy4Martin Gerdin Wärnberg5Swati Gupta6Monty Khajanchi7Anurag Mishra8Jyoti Kamble9Helle Mølsted Alvesson10Johanna Berg11Shamita Chatterjee12Siddarth David13Rajdeep Singh14Prosanta Kumar Bhattacharjee15Pawanindra Lal16Vikas Malhotra17Ravi Meher18Lakshmeswar Nagaraj Mohan19Ritu Saxena20Prabhat Shrivastava21Sumit Sural22School Public Health and Community Medicine, Institute of Medicine, University of Gothenburg Sahlgrenska Academy, Goteborg, SwedenDepartment of Surgery, Maulana Azad Medical College, New Delhi, Delhi, IndiaDepartment of Sport Sciences, Norwegian School of Sport Sciences, Oslo, NorwayCritical Care, All India Institute of Medical Sciences, New Delhi, Delhi, IndiaDepartment of Global Public Health, Karolinska Institutet, Stockholm, SwedenDepartment of Global Public Health, Karolinska Institutet, Solna, SwedenCambridgeshire Community Services NHS Trust and BLMK ICBDepartment of Surgery, Seth Gowardhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, IndiaDepartment of Surgery, Maulana Azad Medical College, New Delhi, Delhi, IndiaDoctors For You, Mumbai, Maharashtra, IndiaDepartment of Public Health Sciences, Karolinska Institute, Stockholm, Sweden1 Department of Global Public Health, Karolinska Institutet, Stockholm, SwedenDepartment of Surgery, Seth Sukhlal Karnani Memorial Hospital, Kolkata, West Bengal, IndiaDepartment of Global Public Health, Karolinska Institutet, Solna, SwedenDepartment of Surgery, Maulana Azad Medical College, New Delhi, Delhi, IndiaDepartment of Surgery, RG Kar Medical College, Kolkata, West Bengal, IndiaDepartment of Surgery, Maulana Azad Medical College, New Delhi, Delhi, IndiaDepartment of ENT and Head & Neck Surgery, Maulana Azad Medical College, New Delhi, Delhi, IndiaENT, Maulana Azad Medical College, New Delhi, IndiaSurgery, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, IndiaDepartment of Accident and Emergency, Lok Nayak Hospital, New Delhi, IndiaDepartment of Burns and Plastic Surgery, Maulana Azad Medical College, New Delhi, Delhi, IndiaDepartment of Orthopaedic Surgery, Maulana Azad Medical College, New Delhi, Delhi, IndiaObjective To compare experts’ perceived usefulness of audit filters from Ghana, Cameroon, WHO and those locally developed; generate context-appropriate audit filters for trauma care in selected hospitals in urban India; and explore characteristics of audit filters that correlate to perceived usefulness.Design A mixed-methods approach using a multicentre online Delphi technique.Setting Two large tertiary hospitals in urban India.Methods Filters were rated on a scale from 1 to 10 in terms of perceived usefulness, with the option to add new filters and comments. The filters were categorised into three groups depending on their origin: low and middle-income countries (LMIC), WHO and New (locally developed), and their scores compared. Significance was determined using Kruskal-Wallis test followed by Wilcoxon rank-sum test. We performed a content analysis of the comments.Results 26 predefined and 15 new filter suggestions were evaluated. The filters had high usefulness scores (mean overall score 9.01 of 10), with the LMIC filters having significantly higher scores compared with those from WHO and those newly added. Three themes were identified in the content analysis relating to medical relevance, feasibility and specificity.Conclusions Audit filters from other LMICs were deemed highly useful in the urban India context. This may indicate that the transferability of defined trauma audit filters between similar contexts is high and that these can provide a starting point when implemented as part of trauma quality improvement programmes in low-resource settings.https://bmjopen.bmj.com/content/12/6/e059948.full |
| spellingShingle | Max Petzold Lovenish Bains Ulf Ekelund Kapil Dev Soni Nobhojit Roy Martin Gerdin Wärnberg Swati Gupta Monty Khajanchi Anurag Mishra Jyoti Kamble Helle Mølsted Alvesson Johanna Berg Shamita Chatterjee Siddarth David Rajdeep Singh Prosanta Kumar Bhattacharjee Pawanindra Lal Vikas Malhotra Ravi Meher Lakshmeswar Nagaraj Mohan Ritu Saxena Prabhat Shrivastava Sumit Sural Perceived usefulness of trauma audit filters in urban India: a mixed-methods multicentre Delphi study comparing filters from the WHO and low and middle-income countries BMJ Open |
| title | Perceived usefulness of trauma audit filters in urban India: a mixed-methods multicentre Delphi study comparing filters from the WHO and low and middle-income countries |
| title_full | Perceived usefulness of trauma audit filters in urban India: a mixed-methods multicentre Delphi study comparing filters from the WHO and low and middle-income countries |
| title_fullStr | Perceived usefulness of trauma audit filters in urban India: a mixed-methods multicentre Delphi study comparing filters from the WHO and low and middle-income countries |
| title_full_unstemmed | Perceived usefulness of trauma audit filters in urban India: a mixed-methods multicentre Delphi study comparing filters from the WHO and low and middle-income countries |
| title_short | Perceived usefulness of trauma audit filters in urban India: a mixed-methods multicentre Delphi study comparing filters from the WHO and low and middle-income countries |
| title_sort | perceived usefulness of trauma audit filters in urban india a mixed methods multicentre delphi study comparing filters from the who and low and middle income countries |
| url | https://bmjopen.bmj.com/content/12/6/e059948.full |
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