Table 1 List of statements that did meet consensus after round 1
Statement | Mean | SD | Consensus |
|---|---|---|---|
DEFINITION: TSP must be capable of functioning in resource-constrained environments | 6.6 | 0.7 | Attained |
DEFINITION: The primary function of the TSP is to provide far-forward resuscitation and initial stabilization in the form of airway, hemorrhage and fracture control | 6 | 0.9 | Attained |
SCOPE: The TSP has an important triage role, rapidly transferring the more serious injuries to a higher level of care and identifying minor injuries | 6.5 | 0.9 | Attained |
PARAMETER: Mobility and/or Flexibility—The TSP should ensure an agile system to move and/or expand medical services based on the changing needs | 6.4 | 1.0 | Attained |
PARAMETER: Transport—Adequate transport and transfer to a receiving facility that has the capability to provide more advanced care should be available | 6.6 | 0.6 | Attained |
PARAMETER: Safety—The TSP should be an environment of care that is safe for patients and health care personnel with risk management plans that are context and area-specific | 6.7 | 0.5 | Attained |
VARIABLE: Chain of referral—There should be a level of integration across the chain of care with continuity from POI to definitive treatment and rehabilitation | 6.6 | 0.7 | Attained |
VARIABLE: Conflict dynamics—Combat strategies, intensity, and geographical location may influence clinical presentations at TSP | 6.4 | 0.8 | Attained |
MONITORING/QUALITY IMPROVEMENT: Indicators and metrics which monitor areas where TSP can make a difference in patient outcomes or staff safety should be developed | 6.7 | 0.5 | Attained |
MONITORING/QUALITY IMPROVEMENT: Time per patient spent at the TSP should be carefully monitored although its interpretation is dependent on several factors | 6.1 | 0.8 | Attained |
MONITORING/QUALITY IMPROVEMENT: Transport time to a higher level of care should be carefully monitored although its interpretation is dependent on several factors | 6.4 | 0.7 | Attained |
MONITORING/QUALITY IMPROVEMENT: Mechanism of injury and anatomic injury patterns are important criteria in monitoring and predicting workload and should be tracked | 6.4 | 1.0 | Attained |