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Johanna Berg

Teaching staff

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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

Author

  • Johanna Berg
  • Helle Molsted Alvesson
  • Nobhojit Roy
  • Ulf Ekelund
  • Lovenish Bains
  • Shamita Chatterjee
  • Prosanta Kumar Bhattacharjee
  • Siddarth David
  • Swati Gupta
  • Jyoti Kamble
  • Monty Khajanchi
  • Pawanindra Lal
  • Vikas Malhotra
  • Ravi Meher
  • Anurag Mishra
  • Lakshmeswar Nagaraj Mohan
  • Max Petzold
  • Ritu Saxena
  • Prabhat Shrivastava
  • Rajdeep Singh
  • Kapil Dev Soni
  • Sumit Sural
  • Martin Gerdin Wärnberg
Show all

Summary, in English

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.

Department/s

  • Emergency medicine

Publishing year

2022-06-09

Language

English

Publication/Series

BMJ Open

Volume

12

Issue

6

Document type

Journal article

Publisher

BMJ Publishing Group

Topic

  • Public Health, Global Health, Social Medicine and Epidemiology
  • Health Care Service and Management, Health Policy and Services and Health Economy

Keywords

  • Delphi Technique
  • Developing Countries
  • Humans
  • Medical Audit/methods
  • Quality Improvement
  • World Health Organization
  • Wounds and Injuries/therapy

Status

Published

Research group

  • Emergency medicine

ISBN/ISSN/Other

  • ISSN: 2044-6055