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Open Access

Collecting data on organizational structures of trauma centers: the CAFE web service

Mathias Brochhausen, Jane W Ball, Nels D Sanddal, Jimm Dodd, Naomi Braun, Sarah Bost, Joseph Utecht, Robert J Winchell, Kevin W Sexton
DOI: 10.1136/tsaco-2020-000473 Published 29 July 2020
Mathias Brochhausen
1Department of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, Florida, USA
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Jane W Ball
2American College of Surgeons, Chicago, Illinois, USA
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Nels D Sanddal
3systEMS, Bozeman, Montana, USA
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Jimm Dodd
2American College of Surgeons, Chicago, Illinois, USA
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Naomi Braun
1Department of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, Florida, USA
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Sarah Bost
1Department of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, Florida, USA
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Joseph Utecht
4Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
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Robert J Winchell
5Surgery, Weill Cornell Medical College, New York, New York, USA
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Kevin W Sexton
6Surgery, UAMS, Little Rock, Arkansas, USA
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    Figure 1

    The CAFE web service. Representatives of trauma centers or trauma systems use the questionnaire to enter data that are stored in the CAFE RDF triple store. During the data entry process, respondents receive feedback on how their institution compares to other institutions of the same type. These data are retrieved from the CAFE RDF triple store. All CAFE RDF data will be made available to implementation science and public health researchers. CAFE, Comparative Assessment Framework for Environments of Trauma Care; OOSTT, Ontology of Organizational Structures of Trauma centers and Trauma systems; RDF, Resource Description Framework.

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    Figure 2

    The CAFE questionnaire. The CAFE questionnaire is composed of Boolean (yes/no), multiple-choice (drop-down menu), or multiple selection (click boxes) questions. To facilitate orientation, the questionnaire is divided into three chapters with a total of 13 subsections. The right side of the screen shows the comparison of the answers given to other institutions of the same type that are already in the RDF triple store. CAFE, Comparative Assessment Framework for Environments of Trauma Care; RDF, Resource Description Framework; N/A, not applicable; TMD, trauma medical director.

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    Figure 3

    RDF statements created by answering the question ‘Who does the trauma medical director (TMD) report to?’ Answer choices are: ‘Hospital Board’, ‘Chief Executive Officer’, ‘Chief Medical Officer’, and ‘Head of Clinical Services’. This is a multiselection item, so the user may select multiple options. RDF, Resource Description Framework.

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    Next steps

    TaskTimeline
    Conduct a usability study on the CAFE web service to test how users regard the performance of the system as a whole.Summer/Fall 2020
    Finalize a web service that allows researchers interested in health outcomes or implementation science in trauma care to access the organizational data collected as part of the CAFE framework.Fall/Winter 2020
    Link CAFE data elements to trauma patient outcomes.2021, after end of current CAFE project period
    (funding proposal submitted March 2020)
    • CAFE, Comparative Assessment Framework for Environments of Trauma Care.

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Collecting data on organizational structures of trauma centers: the CAFE web service
Mathias Brochhausen, Jane W Ball, Nels D Sanddal, Jimm Dodd, Naomi Braun, Sarah Bost, Joseph Utecht, Robert J Winchell, Kevin W Sexton
Trauma Surg Acute Care Open Jul 2020, 5 (1) e000473; DOI: 10.1136/tsaco-2020-000473

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Collecting data on organizational structures of trauma centers: the CAFE web service
Mathias Brochhausen, Jane W Ball, Nels D Sanddal, Jimm Dodd, Naomi Braun, Sarah Bost, Joseph Utecht, Robert J Winchell, Kevin W Sexton
Trauma Surg Acute Care Open Jul 2020, 5 (1) e000473; DOI: 10.1136/tsaco-2020-000473
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Collecting data on organizational structures of trauma centers: the CAFE web service
Mathias Brochhausen, Jane W Ball, Nels D Sanddal, Jimm Dodd, Naomi Braun, Sarah Bost, Joseph Utecht, Robert J Winchell, Kevin W Sexton
Trauma Surgery & Acute Care Open Jul 2020, 5 (1) e000473; DOI: 10.1136/tsaco-2020-000473
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