Development of a Checklist of Elements Supporting Clinical Activities in the Optimised Recovery After Trauma (ORAT) Program - Abstract
Background: Trauma patients with severe or multiple injuries are at risk of losing critical clinical information as they transition through hospital services and discharge process. When patients are transferred between wards or services, valuable experiential and documented data may be lost, impacting caregivers’ ability to address the patients’ holistic needs.
Aim: This paper aims to describe the Optimised Recovery After Trauma (ORAT) framework, which seeks to minimise information loss and enhance communication among multidisciplinary teams, clinical services, and facilities to improve transitions of care. The ORAT program focuses on improving care delivery and reducing inequities by using iterative, comprehensive information gathered and used throughout complex patient journeys.
Methods: Clinical specialty groups at a Level 1 Trauma Centre in New Zealand identified key information elements to provide a holistic view of trauma patients and their support systems. These elements incorporated health domains and priorities from the World Health Organisation’s ICF, Pae Ora, and Te Whare Tapa Wh?, which represents M?ori health principles in New Zealand. A minimum dataset was created on a real-time, accessible clinical information platform, supporting activities such as trauma ward rounds, multidisciplinary meetings, discharge planning, and follow-up clinics.
Results: Checklists and forms were developed, reviewed, and authorised for clinical use by multidisciplinary team members. Following an initial implementation phase, these tools were integrated into the ORAT program.
Conclusions: The ORAT program’s holistic elements and forms facilitate accurate and comprehensive information exchange, improving clinical effectiveness and hospital transitions. These tools are now routinely used by staff managing complex trauma patients at a Level 1 trauma centre in New Zealand and further afield. A post-implementation trial will evaluate the utility and usability of the ORAT elements and forms.