Info
Screenshots provided by Kayla (USAH) on 5/5/2025.
✅ Use Cases of Filters
- Quality Assurance: Identify delays or adverse outcomes that warrant review.
- Registry Reporting: Populate standardized fields for ACS/NTDB compliance.
- Performance Improvement: Track patterns in care delivery to guide interventions.
- Communication: Flag patients requiring multidisciplinary review or transfer.
| Feature | ACS Filters | NTDB Filters |
|---|---|---|
| Focus | Quality Improvement & Protocol Compliance | Complication Tracking & Registry Reporting |
| Governed by | ACS Committee on Trauma (COT) QA standards | NTDS (National Trauma Data Standard) |
| Content | Delays, errors, protocol violations | Diagnoses, infections, organ failure, etc. |
| Usage | Internal QA review & ACS verification | External reporting to NTDB |
| Examples | Delay to OR, Missed Injury, Death-DIED | Pneumonia, AKI, Stroke, ARDS |
ACS Questions
Info
These filters are likely linked to compliance with American College of Surgeons (ACS) requirements and include clinical delays, missed interventions, or quality flags.
- Absence of Hourly Vitals
- SDH/EDH with Craniotomy > 4 hrs after Arrival
- Comatose Patient Left ED before Definitive Airway Established
- Reintubation within 48 hrs of Extubation
- Abdominal Injuries and Hypotension without a Laparotomy within 1 hr of Arrival
- Laparotomy > 4 hrs after Arrival
- Nonfixation of Femoral Diaphyseal Fracture
- GSW to Abdomen Managed Non-operatively
- Initiation of Debridement of Open Tibial Fx > 8 hrs after Arrival
- Abdominal, Thoracic, Vascular, or Cranial Surgery > 24 hrs after Arrival
- HIV Positive
- Surgeon Arrival Time for the Highest Level of Activation
- Delay in Response for Urgent Assessment by NSGY
- Delay in Response for Urgent Assessment by Orthopaedic
- Delayed Recognition of or Missed Injuries
- Prehospital Triage Criteria Compliance
- Delays/Adverse Events r/t Prehospital Trauma Care
- Accuracy of Trauma Team Activation Protocols
- Delays in Care d/t Unavailability of ED Physician
- Unanticipated RTN to OR
- Unanticipated RTN to ICU or Intermediate Care
- Transfer Out of Facility for Appropriateness and Safety
- Radiology Interpretation Errors/Discrepancies between Preliminary and Final Reports
- Delays in Access to Time-Sensitive Diagnostics or Therapeutic Interventions
- Delays in Response to the ICU for Patients with Critical Needs
- Compliance with Policy r/t Timely Access to OR for Urgent Surgical Intervention
- MTP Activation
- Lack of Availability of Essential Equipment for Resuscitation or Monitoring
- Significant Complications and Adverse Events
- Transfers to Hospice
- Death-in Patient
- Death-DOA
- Death-DIED (Died in Emergency Department)
- Inadequate or Delayed Blood Product Availability
- Patient Referral and Organ Procurement Rates
- Screening of Eligible Patients for Psychological Sequelae
- Delays in Providing Rehab Services
- Screening of Eligible Patients for Alcohol Misuse
- Pediatric Admission to Nonpediatric Trauma Center
- Neurotrauma Care at Level III Trauma Center
- Neurotrauma Diversion
- Compliance of Trauma Team Activation
- Other
📌 NTDB Complications
Info
These filters align with categories reported to the National Trauma Data Bank (NTDB). Many are complications or diagnoses tracked for registry purposes.
- Acute Kidney Injury (AKI)
- Acute Respiratory Distress Syndrome (ARDS)
- Cardiac Arrest with CPR
- Decubitus Ulcer (Retired 2017)
- Deep Surgical Site Infection
- Drug or Alcohol Withdrawal Syndrome (Retired 2017)
- Deep Vein Thrombosis
- Extremity Compartment Syndrome (Retired 2022)
- Graft/prosthesis/flap failure (Retired 2016)
- Myocardial Infarction (MI)
- Organ/Space Surgical Site Infection
- Pneumonia (Retired 2016)
- Pulmonary Embolism (PE)
- Stroke/CVA
- Superficial Surgical Site Infection (Retired 2017)
- Unplanned Intubation
- Urinary Tract Infection (Retired 2016)
- Catheter-Related Blood Stream Infection (Retired 2016)
- Osteomyelitis
- Unplanned Return to the Operating Room (Retired 2020)
- Unplanned Admission to ICU
- Severe Sepsis
- Other (Retired 2019)
- Abdominal Compartment Syndrome (Retired 2011)
- Abdominal Fascia Left Open (Retired 2011)
- Base Deficit (Retired 2011)
- Bleeding (Retired 2011)
- Coagulopathy (Retired 2011)
- Coma (Retired 2011)
- Intracranial Pressure (Retired 2011)
- Systemic Sepsis (Retired 2011)
- Wound Disruption (Retired 2011)
- Catheter-Associated Urinary Tract Infection (CAUTI)
- Central Line-Associated Blood Stream Infection (CLABSI)
- Ventilator-Associated Pneumonia (VAP)
- Alcohol Withdrawal Syndrome
- Pressure Ulcer
- Superficial Incisional Surgical Site Infection
- Delirium
- Unplanned Visit to the Operating Room
Favorites Filters (Speed Screen)
- Alcohol Withdrawal
- Delay to Operating Room
- Delay in Diagnosis
- Readmission
- Aspiration/Pneumonia
- Pneumonia
- Necrotizing Fasciitis
- Compartmental Syndrome
- No EMS Form
- Trauma Death
Other fields:
- Select Additional Filters (3 blank lines)
- Date field
- QA Tracking checkbox