A Modified Delphi Study to Build Consensus on Pediatric-Specific Trauma Quality Indicators

What is quality care in pediatric trauma? I'm Jill Steyer, and this is an article you should know about. Quality improvement has, for lack of a better word, improved in recent years at pediatric trauma centers. This is largely thanks to TQWIP, or the Trauma Quality Improvement Program. But what indicators are we using to measure quality care for pediatric patients? Shouldn't there be a consensus among pediatric trauma centers? In 2025, Roberts et al. published a study in the Journal of Pediatric Surgery. That looked at just that. They surveyed expert pediatric trauma leaders to look at possible QI measures using a modified delta method. After their meetings, they discovered 22 indicators currently in Twp that they would keep, 10 that they would modify, and 20 that they would add. These new indicators included things specific to traumatic brain injuries, the use of DVT prophylaxis, screening for social determinants of health and acute stress, and many more. What indicators would you add for your pediatric patients?