PT  - JOURNAL ARTICLE
AU  - Berg, Johanna
AU  - Alvesson, Helle Molsted
AU  - Roy, Nobhojit
AU  - Ekelund, Ulf
AU  - Bains, Lovenish
AU  - Chatterjee, Shamita
AU  - Bhattacharjee, Prosanta Kumar
AU  - David, Siddarth
AU  - Gupta, Swati
AU  - Kamble, Jyoti
AU  - Khajanchi, Monty
AU  - Lal, Pawanindra
AU  - Malhotra, Vikas
AU  - Meher, Ravi
AU  - Mishra, Anurag
AU  - Mohan, Lakshmeswar Nagaraj
AU  - Petzold, Max
AU  - Saxena, Ritu
AU  - Shrivastava, Prabhat
AU  - Singh, Rajdeep
AU  - Soni, Kapil Dev
AU  - Sural, Sumit
AU  - Gerdin Wärnberg, Martin
TI  - 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
AID  - 10.1136/bmjopen-2021-059948
DP  - 2022 Jun 01
TA  - BMJ Open
PG  - e059948
VI  - 12
IP  - 6
4099  - http://bmjopen.bmj.com/content/12/6/e059948.short
4100  - http://bmjopen.bmj.com/content/12/6/e059948.full
SO  - BMJ Open2022 Jun 01; 12
AB  - 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.Data are available in a public, open access repository. Data and R code for the quantitative analysis are publicly available on GitHub at https://github.com/titco/utaf. To protect the privacy of the participants the qualitative data are not available.