Inspection of PI Process by Reviewers

Trauma centers are verified by external agencies. A key component of these inspections is the examination of the trauma center PI program. This chapter discusses how to present your PI activities to the inspection team. Strong work by the program can be ignored if the information is not presented in a coherent and logical manner. Opportunities that affect many patients can be aggregated into “projects” where the corrective action plan would not be tied to an individual patient, but to a population of patients. These “projects” can be presented to evaluators to demonstrate the program’s ability to handle large issues that cross disciplines and patient care units. We also review how to structure the physical chart that will be used by the reviewers, and how to ensure that the reviewer can follow the “story” that is being told about the case.