Each designated trauma center shall have a Performance Improvement and Patient Safety

Each designated trauma center shall have a Performance Improvement and Patient Safety (PIPS) program. The PIPS program shall be multidisciplinary in nature with every member of the trauma team playing a role in PIPS program. The trauma center’s trauma medical director (TMD) shall maintain overall accountability for the execution of the PIPS program. The trauma program shall have the authority to monitor all events that occur during a trauma-related episode of care within the organization.