Application of a Nursing Quality Improvement Checklist in the Emergency Treatment of Trauma Patients.

Authors

Lang Fan, Ling Zhang, Qiong Huang, Maolin Deng, Weijun Guo, Dan Chang, Yuan Yuan, Yan Zhou, Bo Bi, Yanhong Kang

Published in

Risk management and healthcare policy. Volume 19. Pages 578784. Epub Apr 22, 2026.

Abstract

To explore the value of applying a nursing quality improvement checklist in a pre-post quasi-experimental design in the treatment of emergency trauma patients.
A total of 779 trauma patients were admitted to the emergency department of Changsha Traditional Chinese Medicine Hospital from April 2024 to November 2024. Patients treated between April and July 2024 were assigned to the control group (417 cases), and those treated between August and November 2024 were assigned to the observation group (362 cases). The control group received routine treatment, while the observation group implemented a nursing quality improvement checklist management approach integrating traditional Chinese medicine (TCM) elements based on routine treatment. The study compared the emergency department length of stay (ED-LOS), time to CT completion, resuscitation success rate, incidence of nursing adverse events, and patient satisfaction between the two groups, analyzed using t-tests and chi-square tests.
The observation group had a significantly shorter ED-LOS (reduced by 28.14 minutes) compared to the control group (P < 0.01). The occurrence of nursing adverse events was markedly lower in the observation group than in the control group (P < 0.05). Additionally, the resuscitation success rate was significantly higher in the observation group compared to the control group (P < 0.05). Patient satisfaction was also greater in the observation group than in the control group (P < 0.01).
Implementing a risk-based nursing quality improvement checklist for trauma patients was associated with reduced ED-LOS, decreased incidence of nursing adverse events, and enhanced both resuscitation success rates and doctor-patient satisfaction. Limitations include single-center design; future multicenter studies are needed.

PMID:
42046759
Bibliographic data and abstract were imported from PubMed on 17 Sep 2026.

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