University of Twente Student Theses


Effects of implementation of the trauma care norms in trauma patient logistics

Boer, R. de (2024) Effects of implementation of the trauma care norms in trauma patient logistics.

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Abstract:In the Netherlands, severely injured (multitrauma) patients receive specialized trauma care at major trauma centers (MTCs). These specialized hospitals are equipped with advanced resources and staffed by trauma care specialists to deliver comprehensive treatment. A network of healthcare providers, including hospital departments, emergency medical services and mobile medical teams (MMTs) collaborate in the trauma care chain to optimize patient care. The system faces considerable challenges in meeting the minimum volume and 90% norms. The minimum volume norm requires each MTC to treat a minimum of 240 multitrauma patients annually, while the 90% norm requires 90% of multitrauma patients in each region to be directly transported to an MTC. Adhering to these norms is crucial to ensure optimal care for trauma patients, enhancing their chances of recovery and survival. In 2022, the nationwide compliance score with the 90% norm was 70%, as none of the 11 regions met the requirement and 9 out of 13 MTCs fulfilled the minimum volume norm. This research seeks to enhance comprehension regarding the impact of meeting the minimum volume and 90% norms on patient transportation time, emergency medical service busyness and hospital capacity by developing a predictive simulation model to assess various scenarios.
Item Type:Essay (Master)
Acute Zorg Euregio, Enschede, Netherlands
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:44 medicine, 85 business administration, organizational science
Programme:Industrial Engineering and Management MSc (60029)
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