RT Journal Article
SR Electronic
T1 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
JF BMJ Open
JO BMJ Open
FD British Medical Journal Publishing Group
SP e059948
DO 10.1136/bmjopen-2021-059948
VO 12
IS 6
A1 Berg, Johanna
A1 Alvesson, Helle Molsted
A1 Roy, Nobhojit
A1 Ekelund, Ulf
A1 Bains, Lovenish
A1 Chatterjee, Shamita
A1 Bhattacharjee, Prosanta Kumar
A1 David, Siddarth
A1 Gupta, Swati
A1 Kamble, Jyoti
A1 Khajanchi, Monty
A1 Lal, Pawanindra
A1 Malhotra, Vikas
A1 Meher, Ravi
A1 Mishra, Anurag
A1 Mohan, Lakshmeswar Nagaraj
A1 Petzold, Max
A1 Saxena, Ritu
A1 Shrivastava, Prabhat
A1 Singh, Rajdeep
A1 Soni, Kapil Dev
A1 Sural, Sumit
A1 Gerdin Wärnberg, Martin
YR 2022
UL http://bmjopen.bmj.com/content/12/6/e059948.abstract
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.