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CSTR Exam Study Guide Part 3 WITH VERIFIED ANSWERS
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CSTR Exam Study Guide Part 3 WITH VERIFIED ANSWERS
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EUNICECSTR Exam Study Guide Part 3 WITH QUESTIONS AND
100% SURE ANSWERS
How many registrars per the ACS? 1 registrar per 500-750 patients per year
"Trauma Patient" Definition: Resources for optimal care of the injured patient (also
ACS Guidelines America College of
called "blue book" or "green book"), Any patient that meets that definition should be
Surgeons
entered into the Trauma Registry
ACS: Originated the NTDB, National Data repository of information related to trauma
patients,created in 1913 by the American College of Surgeons.
PIPS-Process Improvement & Patient Safety
NTDB (National Trauma Data Bank): Published a definition of a "trauma patient," this
(performance)
definition should be used to guide us on which patients are to be included in the
database
Registry Currency 80% of records are abstracted and closed within 60 days of discharge.
A Trauma Program is used to do what? Develop and monitor injury prevention
A graphic means of quantitative comparison by rectangles with lengths proportional
Bar Graphs
to the measure of the data or things being compared.
A graphic means of quantitative comparison by rectangles with lengths proportional
Local/State Requirements
to the measure of the data or things being compared.
Registry Change Logs-Each trauma department should maintain a registry log
(note:NTDB annual change log is included with the dictionary updates)
Department Report Logs Registry Log Contains- Listings of each change or update to registry software,
includes specific changes, upgrades, or user defined fields, additions, deletions, lists
dates of each event, and review log annually.
Basic details needed:
What information is needed to identify correct data fields?
Running Reports Time frame of interest
Any related filters?
What format for display group grouping (year, month, ISS range, age, etc.)?
Format:The way the viewer wishes to view the results of data compiled. Identifies
how the data is to be displayed, such as paper, website, dashboard,powerpoint, etc.
Presentation Types Tables:Show the actual data elements arranged in rows and columns.
Graphics:A picture showing the result of data calculations. Work better than tables
for faster interpretation of changes, trends, and outliers. (ex:graphs & charts)
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, Who cares about the data we input? d.All of the above
a.Community Leaders
b.External Partners
c.Researchers
d.All if the above
Volume: Data Totals (Total patients) can be visualized by a bar chart, showing
different heights for comparative periods of time.
Interpretation(Volume/Trends)
Trends: Series of consecutive info/data that is moving upward or downward as time
progresses. Easily visualize a trend over time.
Tools that can be used to gather data into defined groups, or a single item.
Filters Easily define, view, or calculate subgroups within a larger population. (ex. burns,
deaths, ages, ISS ranges,etc.)
National organization that provides standards so that hospitals may obtain
accreditation for licensing and can receive payment from Medicaid and Medicare.
Joint Commission
Merged hospital standardization program with similar programs. (The Joint
Commission of Accreditation of Healthcare Organizations)
Identification of Issues: Staff communication, chart review, rounds,meetings
Review of Issues: PI Review Trauma Medical Director evaluation
Corrective Action: New guidelines, protocol change, development & review,
PI and LOOP Closure
education
Result Evaluation: Demonstration that a corrective action has the desired effect.
Repeat evaluation.
Registry Updates: Registry software provider updates, log all changes
Password protection: Secure user name & password for each person
Data Validation: Monthly 5-10%, 95% better concurrence
Maintenance of Registry Backup Procedures: Copy data from main server to "backup" server, performed by IT
Department
Uploads/Downloads: Upload to NTDB quarterly, Involves encryption, safety
measures in place.
Population Demographics Population age, Gender, Residence, Nationality, etc. -analysis of differing grouping.
Taking a small portion of a larger set of data to study in order to obtain a picture of
Sampling
the probable larger total population (can save time and money)
Frequency Number of occurrences of repeating a similar event (defined set)
Is the sum of all integers divided by the total number of integers.
Average (Mean)
(formula: m=sum of the terms / number of terms)
Total of one group divided by the total of all groups.
Percentage
(formula Y/X=P%)
Difference between the largest and smallest number in a series.
Range
(formula:Range=max-min)
Ratio One value as compared to another
Median the middle score in a distribution; half the scores are above it and half are below it.
Trend analysis is a method to measure? Unplanned returns to the OR
Which of the following best describes the b. Outcome Measurement
results of intervention and management? (Orange Book)
a. Data Analysis
b. Outcome Measurement
c. Quality Improvement
d. Resource Utilization
2/6
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