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New report lays foundation for project to reduce avoidable in-hospital deaths from critical bleeding

National Trauma Network
17 September 2020

A new report on improving trauma care for critically bleeding patients lays a strong foundation for a national quality improvement project to reduce avoidable in-hospital deaths.

The report, Improving trauma care for critically bleeding patients: A history, evidence summary and proposed quality improvement approach, presents the history of managing critical haemorrhage in New Zealand, an evidence summary that justifies the proposed next steps and a description of the intended critical haemorrhage project approach.

The report is an early output from the cross-sector critical haemorrhage project, which aims to eliminate in-hospital deaths from trauma-related critical haemorrhage and related multiple-organ failure by 2025.

Understanding the history, current state and evidence relating to critical haemorrhage management in New Zealand is an important part of quality improvement.

The report presents the evidence base for the project’s approach to develop, promote and support the implementation of a nationally agreed best practice guidance. This includes review and improvement of existing massive transfusion protocols and the development of a national critical bleeding bundle of care. This suite of tools will support both pre-hospital and hospital early identification and effective management of critical haemorrhage in trauma patients.

The national critical haemorrhage project is a partnership between the National Trauma Network, the Accident Compensation Corporation, the Health Quality & Safety Commission, the New Zealand Blood Service, the Australian and New Zealand Massive Transfusion Registry, ambulance services and district health boards (specifically, emergency departments, perioperative teams and intensive care units).

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