Implementation of a Standard Trauma Video Review Process at a Level 1 Trauma Center

Despite standardized trauma protocols, significant variability remains in the execution of trauma resuscitations—particularly in clinical decision-making, communication, and procedural timing. Traditional review methods, such as chart audits and verbal debriefs, often lack the fidelity to capture critical team dynamics and deviations from best practices. This limits the ability of trauma teams to identify and act upon specific performance improvement opportunities. Trauma video review (TVR) addresses this gap by offering an objective, real-time tool to evaluate team performance, adherence to clinical protocols, and systems-based factors affecting care. By integrating video review into trauma education, institutions can enhance reflective learning, promote interprofessional development, and improve patient safety through targeted feedback and systems improvement. 

An example of a process improvement exercise that our team conducted using TVR data was to explore the timing of vascular access for patients that required blood product resuscitation. Specifically, we sought to explore if patients that arrived with prehospital vascular access received blood faster than those that had vascular access established after ED arrival.

Learning  Outcomes: 

1. Describe how Trauma Video Review can but utilized to analyze team dynamics, situational awareness, communication and leadership.
2. Identify systems issues and generate quality improvement initiative from findings.
3. Foster a culture of safety and continuous improvement.
4. Present real-world findings from a process improvement exercise to demonstrate the ability of TVR data.

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Speakers/Panelists:

• Henry Ziebarth BSN, RN
  Henry Ziebarth is a Trauma Process Improvement RN at UCHealth University of Colorado Hospital, and currently serves as the Trauma Video Review (TVR) Lead RN. Over the past two years, Henry has championed developing standardized processes for identifying cases for TVR, developing a standardized dataset, and reporting findings from the TVR to various stakeholders. Henry has presenting data the UCHealth University of Colorado Hospital TVR program at the ACS TQIP meeting and the Society of Trauma Nurses annual meeting.
• Shane Urban BSN, RN
  Shane Urban currently serves as the Trauma Research Program Manager at UCHealth University of Colorado Hospital. He has extensive experience designing an maintaining databases used for research and process improvement initiatives. His research has been presented an numerous national meetings, including the American Association for the Surgery of Trauma, the Eastern Association for the Surgery of Trauma, the ACS TQIP annual meeting, the National Association of Emergency Medical Service Physicians, and the Society of Trauma Nurses Annual Meeting.