Changes in multidisciplinary perceptions of trauma video review following implementation of a novel program: let us go to the tape.

Abstract:

Background: Trauma video review (TVR) is an evolving technology that can be used to measure technical and non-technical aspects of trauma care leading to meaningful improvements. Only 30% of centers currently use TVR, with non-users citing medicolegal concerns, staff discomfort with recording, and resource constraints as barriers to implementation. Multiple studies have shown established TVR programs are well-perceived by staff. Little is known about perceptions prior to, and after implementation of a new program.

Objective: This study evaluated changes in TVR perceptions following implementation of a new program.

Methods: A 15-question survey was distributed to emergency department and trauma surgery providers at a level I trauma center prior to, and 1 year after, implementation of TVR. A 5-point Likert scale was used to evaluate perceptions of the value of TVR, measures of team dynamics, and staff discomfort with recording.

Results: A total of 106 pre-implementation and 82 post-implementation responses were recorded. Perceptions in several domains improved post-implementation including team leader effectiveness (3 (3-4) to 4 (3-4); p=0.002), communication (3 (3-4) to 4 (3-4); p<0.001), and self confidence in role (4 (3-4) to 4 (4-5); p=0.001). Staff discomfort with recording decreased post-implementation (3 (2-4) to 2 (2-3); p=0.002).

Conclusion: Our study shows that perceptions of TVR changed favorably after implementation, particularly perceptions of team dynamics and provider discomfort with recording. These results can be used to mitigate staff concerns about TVR and encourage the development of new programs.

Level of evidence: IV.