Developing process guidelines for trauma care in the Netherlands for severely injured patients: Results from a Delphi study

Background: In organised trauma systems the process of care is the key to quality. Nevertheless, the optimal process of trauma care remains unclear due to lack of or inconclusive evidence. Because monitoring and improving the performance of a trauma system is complex, this study aimed to develop consensus-based process guidelines for trauma care in the Netherlands for severely injured patients. Methods. A five-round Delphi study was conducted with 141 participants that represent