Creation of the Utah Pediatric Trauma Network to Close the Gap in the Care of Injured Children
摘要
Unintentional injury is the leading cause of childhood death, yet most injured children in Utah historically received care outside the state's only ACS-verified pediatric trauma center (PTC). To address this gap, we designed the Utah Pediatric Trauma Network (UPTN), a state-funded, public-private partnership linking 56 facilities across five geographically diverse regions within the state to deliver standardized, resource-sensitive pediatric trauma care. Using a PRISM implementation framework, herein we describe how we built a bidirectional hub and spoke model for pediatric trauma care in our region. We describe the development of clinical guidelines for management of traumatic injuries in children, the process of dissemination across the state, the development of a statewide teletrauma support framework, and the statewide data capture registry to track clinical outcomes. Our implementation effectiveness analysis have demonstrated that after establishment of the UPTN, our states non-pediatric hospitals have safely admitted more children with low-severity traumatic brain injuries with outcomes comparable to the PTC, and more children with low-grade solid organ injuries have been successfully and safely treated locally. In this manuscript, we describe how the development of the UPTN has provided a scalable model for equitable pediatric trauma systems in a large, resource-variable region.