Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

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

Berg, Johanna LU ; Alvesson, Helle Molsted ; Roy, Nobhojit ; Ekelund, Ulf LU orcid ; Bains, Lovenish ; Chatterjee, Shamita ; Bhattacharjee, Prosanta Kumar ; David, Siddarth ; Gupta, Swati and Kamble, Jyoti , et al. (2022) In BMJ Open 12(6).
Abstract

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... (More)

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.

(Less)
Please use this url to cite or link to this publication:
author
; ; ; ; ; ; ; ; and , et al. (More)
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; and (Less)
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Delphi Technique, Developing Countries, Humans, Medical Audit/methods, Quality Improvement, World Health Organization, Wounds and Injuries/therapy
in
BMJ Open
volume
12
issue
6
article number
e059948
pages
11 pages
publisher
BMJ Publishing Group
external identifiers
  • scopus:85131707214
  • pmid:35680271
ISSN
2044-6055
DOI
10.1136/bmjopen-2021-059948
language
English
LU publication?
yes
id
c9c2cadd-5239-4cf7-870b-8b2f4f5c3d7d
date added to LUP
2022-09-18 23:05:32
date last changed
2024-04-04 07:54:58
@article{c9c2cadd-5239-4cf7-870b-8b2f4f5c3d7d,
  abstract     = {{<p>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.</p><p>DESIGN: A mixed-methods approach using a multicentre online Delphi technique.</p><p>SETTING: Two large tertiary hospitals in urban India.</p><p>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.</p><p>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.</p><p>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.</p>}},
  author       = {{Berg, Johanna and Alvesson, Helle Molsted and Roy, Nobhojit and Ekelund, Ulf and Bains, Lovenish and Chatterjee, Shamita and Bhattacharjee, Prosanta Kumar and David, Siddarth and Gupta, Swati and Kamble, Jyoti and Khajanchi, Monty and Lal, Pawanindra and Malhotra, Vikas and Meher, Ravi and Mishra, Anurag and Mohan, Lakshmeswar Nagaraj and Petzold, Max and Saxena, Ritu and Shrivastava, Prabhat and Singh, Rajdeep and Soni, Kapil Dev and Sural, Sumit and Gerdin Wärnberg, Martin}},
  issn         = {{2044-6055}},
  keywords     = {{Delphi Technique; Developing Countries; Humans; Medical Audit/methods; Quality Improvement; World Health Organization; Wounds and Injuries/therapy}},
  language     = {{eng}},
  month        = {{06}},
  number       = {{6}},
  publisher    = {{BMJ Publishing Group}},
  series       = {{BMJ Open}},
  title        = {{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}},
  url          = {{http://dx.doi.org/10.1136/bmjopen-2021-059948}},
  doi          = {{10.1136/bmjopen-2021-059948}},
  volume       = {{12}},
  year         = {{2022}},
}