Table 3

Key performance indicator results

Key performance indicator	Data recorded, n (%)	Recorded Yes OR No, n	KPIs applicable %	KPIs compliant %
1. Was closure of penetrating head injuries performed <6 h of injury?	139 (100)	12	8.6	100
2. Was appropriate initial wound surgery performed <6 h of injury?	138 (99.3)	137	99.3	98.5
3. Were appropriate antibiotics commenced within 6 h of open fracture?	136 (97.8)	132	97.1	97.7
4. Was damage control laparotomy performed in <90 min from arrival in ED?	139 (100)	35	25.2	97.1
5. Was the laparotomy if performed therapeutic?	139 (100)	35	25.2	97.1
6. Was the off table temp >34°C	121 (87.1)	119	98.3	95.0
7. Were blood gas and ROTEM results available to the anaesthetist?	136 (97.8)	136	100	87.5
8. Was revascularisation surgery performed <6 h of injury?	139 (100)	14	10.1	85.7
9. Was limb salvage scoring performed pre-amputation (two-surgeon agreement)?	139 (100)	7	5.0	85.7
10. Was urgent thoracotomy performed for shocked patients with penetrating chest injury <1 h of arrival in the ED?	139 (100)	13	9.4	84.6
11. Were acute compartment fasciotomies performed <1 h of arrival in ED?	134 (96.4)	16	11.9	81.3
12. Were all components of WHO checklist completed?	139 (100)	138	99.3	74.6
13. Was preoperative temperature recorded?	139 (100)	139	100	71.9
14. Was tranexamic acid given within appropriate clinical need?	116 (83.5)	100	86.2	71.0
15. Were fasciotomies performed for confirmed vascular injuries?	137 (98.6)	14	10.2	64.3
16. Did penetrating abdominal injury with systolic BP <90 mm Hg undergo a laparotomy <30 min of arrival in ED?	139 (100)	11	7.9	63.6
17. Were all wounds photographed predebridement and postdebridement and copies available in the UK	10 (7.2)	9	90	55.6
18. Were casualties with continuing haemorrhage with shock taken to theatre <30 min from arrival in ED?	138 (99.3)	35	25.4	45.7
19. Was a postoperative plan of care documented prior to patient care transfer, which included a nutrition plan?	136 (97.8)	134	98.5	12.7
20. Were all wounds ICRC scored at initial surgery?	139 (100)	139	100	0
21. Were bacteriologic specimens taken predebridement and postdebridement with results available to clinicians	138 (99.3)	137	99.3	0
22. Were decompressive craniotomy/craniectomy performed <4 h of a blunt head injury?	139 (100)	0	0	–

Colour coding relates to performance of the KPI with green >80%, amber=80%–60% and unshaded >60%. KPI applicable—number applicable to clinical presentation; KPI compliant %—number recorded as ‘yes’ divided by number applicable.
KPI, key performance indicator; ED, emergency department.