What Is: A Trauma Performance Improvement (PI) Dictionary?

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Trauma PI is the most important part of any trauma program or center. Not only does the program have to provide high quality care, but it has to prove that it does this on paper. A performance improvement plan is important, as this outlines the specific methods used to self-assess clinical care. An important component of the plan is the PI dictionary.

A PI dictionary is simply the list of the clinical issues that are tracked by your PI program. This includes specific audit filters used to trigger PI review, as well as the list of issues and events that are routinely scrutinized. There is a core set of items that are found at every trauma center, like deaths and significant complications. However, no two centers’ dictionaries are identical because they must include local issues and problems as well.

Your trauma center should have a well-defined dictionary of PI review issues. And this dictionary must contain a “reasonable” number of items. Too many, and you will never be able to reasonably track everything down; too few and you will miss important problems that demand investigation. 

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