Supplementary File 3. Panel Ratings Across Rounds1
1
1
Initial Patient- & Family-Centered
Care Criteria
Clinical Care
Impact of continuity of care
Communication among staff within
hospital2
Continuity of care by same staff5
2
Median
Score
8.5
8
8
Rating Round
3
Revised Criteria & Sub-Statements
8.5
Effective transition of care between healthcare providers
8
8
Using a standardized process, healthcare providers should
effectively exchange essential information (both verbally and
through medical record documentation) during patient handoffs
to allow for safe and continuous patient care.
ii. All healthcare providers involved in the patient’s care
should have access to pertinent patient-related information
iii. The patient’s information should be effectively
communicated between providers at end-of-shift and end-ofrotation handoffs
iv. The hospital will have a policy/procedure to standardize
patient care handoff between providers
Staff competence
8
8
Healthcare provider competence
Members of the healthcare team should have completed the
appropriate injury care training recommended by their
professional society and local practice group.
i. The patient will receive care from providers with specialized
injury care training
ii. The hospital will have a policy/procedure to ensure
healthcare providers received adequate and appropriate
injury-specific training
Pain management
9
9
Pain management
The pain level of the patient should be assessed after presentation
to hospital and reassessed at a frequency that is suitable to the
clinical condition and history of pain, and managed with the
appropriate type and dose of pain medication.
i. The patient should receive a pain assessment within 30
minutes of presentation to hospital
ii. A healthcare provider should administer appropriate pain
medication in a timely fashion, determined by the prescribed
dosing schedule
iii. The patient should have their pain management strategy
reassessed every 6 hours
iv. The hospital will have a policy/procedure to ensure patients
receive appropriate pain management
Patient safety
9
9
Patient safety
Patients should be provided with care that is safe for their
medical needs.
i. The patient should receive care that is free of medical errors
and preventable adverse events
ii. Medical errors and adverse events should be documented in
the patient’s medical record
iii. The hospital will have a policy/procedure for documenting
and addressing medical errors and adverse events
Staff were identifiable
High staff-to-patient ratio
Staff were easily accessible
Fast response time to patient/family calls
Patient coverage by other staff when
needed
Hospital beds were appropriate for nature
of injury
Staff were distinguishable from trainees
Perceived thoroughness of care provided
Trainee competence
Communication
Information given to family upon arrival
Periodic updates for family5
Staff source of information5
Type of information provided5
Opportunities for patient/family questions5
Information is understandable5
8
7
7
7
7
8
7
7
7
7
7
7
6
6
6
7
5
5.5
9
8
8.5
8
8
7
9
8
8.5
8
8
7
Information given to patients/families
4
Median
Score
9
9
9
9
8
9
8
9
9
9
9
9
9
9
8
9
9
The healthcare team should inform the patient/family about the
patient’s injuries, prognosis, and treatment plan after admission
to hospital, as well as provide updates during the hospital stay.
i. The family will be met by a member of the healthcare team
within 30 minutes of arrival and provided with an update
ii. The family will receive an update from the healthcare team
while waiting to see the patient for the first time after
9
9
2
1 Grey
shaded cells did not move beyond Round 2.
criterion moved from “Communication” to “Clinical care” and amalgamated during Round 3.
2 Quality
3
Quality criterion moved from “Clinical care” to “Holistic care” and amalgamated during Round 3.
4
Lowest rated criterion & sub-statements removed to make a more parsimonious patient- and family-centered care criteria list.
from 13 criteria (rated as necessary in Round 1 and Round 2, but not prioritized for panel discussion) were incorporated as part of the
refinement process that were conceptually similar to 8 criteria included in the workshop (Round 3).
5 Elements
3