UW PROGRESS Research

Global Surgery Trauma and Burns

Project 1 Highlight

Effectiveness of the World Health Organization Trauma Intake Form in Ghana

  • Project goal: Just-in-time, low-fidelity, decision-support tools can improve care. We test the World Health Organization Trauma Intake Form at first-level hospitals in Ghana to determine its effect on quality of trauma care provided.
  • Research team: Adam Gyedu, Charlie Mock, Barclay Stewart
  • Partners: Kwame Nkrumah University of Science and Technology, Ghana Health Service, World Health Organization
  • Funder: NIH
  • Publications: Trial in progress

Project 2 Highlight

Rwanda912

  • Project goal: To develop, test, and implementing a novel phone app to coordinate emergency medical service providers’ pre-hospital communication in Kigali, Rwanda.
  • Research Team: Sudha Jayaraman, Jean Marie Uwitonze Jean D’Arc Nyinawankusi, Justine Davis, Melissa Watt, Rob Rickard, Theophile Dushime
  • Partners: University of Rwanda, Central hospital of Kigali, University of Utah, Rwanda Builds
  • Funder: NIH

Project 3 Highlight

Cluster randomized trial of enteral vs intravenous resuscitation for major burn injuries in Ghana

  • Project goal: Compare the effectiveness and implementation of enteral fluid administration (I.e., oral rehydration solution by mouth or nasogastric tube) to standard of care at first-level hospitals in Ghana
  • Research Team: Barclay Stewart, Adam Gyedu, Charlie Mock, Kajal Mehta, Paa Ekow Hoyte Williams, Ighohwo Etuh, Kwesi Nsaful, Leopoldo Cancio
  • Collaborating organizations – Kwame Nkrumah University of Science and Technology, Komfo Anokye Teaching Hospital Burns Unit, 37 Military Hospital Burn Unit, Tamale Teaching Hospital Burn Unit, Ghana Health Service
  • Funder: US Department of Defense

Project 4 Highlight

Feasibility trial of enteral vs intravenous resuscitation for major burn injury in Nepal

  • Project goal: Conduct small-scale randomized trial comparing enteral fluid administration (I.e., oral rehydration solution by mouth or nasogastric tube) to standard of care at a tertiary burn care center in Nepal. Understand the feasibility, barriers and facilitators to enteral resuscitation
  • Research Team: Kajal Mehta, Barclay Stewart, Tam Pham, Kiran Nakarmi, Shankar Rai, Manish Yadav, Joohee Lee
  • Collaborating organizations – Nepal Cleft and Burn Center at Kirtipur Hospital, UW Regional Burn Center
  • Funder: NIH/Fogarty International Center

Project 5 Highlight

Understanding risk factors and behaviors around cookstove-related burn injuries in Ghana

  • Project goal: Case-control study to identify and describe in-depth root causes of cookstove-related burn injuries from both traditional and improved cookstoves (including LPG stoves) that present to a regional referral center in Ghana
  • Research Team: Kajal Mehta, Barclay Stewart, Paa Ekow Hoyte-Williams, Adam Gyedu, Seidu Miracle
  • Collaborating organizations – Kwame Nkrumah University of Science and Technology, UW Regional Burn Center
  • Funder: University of Washington Global Innovation Fund

Project 6 Highlight

Barriers and facilitators to adoption and use of the WHO Global Burn Registry

  • Project goal: Understand implementation factors to uptake of the World Health Organization Global Burn Registry via cross-sectional surveys of stakeholders
  • Research Team: Kajal Mehta, Barclay Stewart, Caitlin Hebron, Patricia Price, Tom Potokar
  • Collaborating organization – Center for Global Burn Injury Policy and Research at Swansea University, Interburns, UW Regional Burn Center
  • Funder: National Institute for Health Research, NIH/Fogarty International Center
  • Publication – submitted

Rural Surgery

Project Spotlight

Using telehealth to improve access to surgical care in South Africa

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  • Primary goal: identify novel uses of telehealth to support the delivery of surgical care to patients at rural district hospitals, including improving system efficiency.
  • Research Team: Kathryn Chu (Stellenbosch University), Riaan Duvenage (Worcester Hospital)
  • Publication – WJS editorial

Equity and Pediatric Surgery

Project Spotlight

Using telehealth to improve access to surgical care in South Africa

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  • Primary goal: identify novel uses of telehealth to support the delivery of surgical care to patients at rural district hospitals, including improving system efficiency.
  • Research Team: Kathryn Chu (Stellenbosch University), Riaan Duvenage (Worcester Hospital)
  • Publication – WJS editorial

Project 1 Spotlight

Equity in access to optimal pediatric surgical care in the United States

  • Primary goal: To evaluate factors contributing to inequity in delivery of surgical care to children in the United States, as well as solutions to improve equity and pathways to implement change.
  • Research team: Alexis Bowder (Medical College of Wisconsin), Hannah Cockrell (University of Washington), Allison Linden (Emory University), Sarah Greenberg (University of Washington)
  • Collaborating Organizations: Seattle Children’s Hospital, University of Washington, Emory University

Project 2 Spotlight

Improving faculty engagement in equity, diversity and inclusion using quality improvement, self-reflection and peer discussion

  • Primary goal: To assess the effectiveness of a longitudinal, peer-driven quality improvement curriculum called GATHER (Generate and Teach Health Equity Routinely) across surgical specialties at Seattle Children’s Hospital.
  • Collaborating Organization: Seattle Children’s Hospital MOC program, clinical divisions and the Center for Diversity and Health Equity

Complex Humanitarian Crises and Conflict

Project Spotlight

Using telehealth to improve access to surgical care in South Africa

  • Picture/image
  • Primary goal: identify novel uses of telehealth to support the delivery of surgical care to patients at rural district hospitals, including improving system efficiency.
  • Research Team: Kathryn Chu (Stellenbosch University), Riaan Duvenage (Worcester Hospital)
  • Publication – WJS editorial

Project Highlight

Strategies to reduce mortality from land mine and unexploded ordinance blasts

  • Primary goals: Land mine education and clearance initiatives have decreased injuries in conflict and post-conflict settings. However, mine action groups are less able to support post-blast care capacity development. We aim to identify opportunities for mine action groups to support post-blast care and reduce post-blast mortality from 1 in 3 to 1 in 10.
  • Research team: Hannah Wild, Barclay Stewart, Christelle Loupforest, Charlie Mock
  • Partners: UN Mine Action Service, Imperial College London Center for Blast Injury Studies.