Introduction Inadequate access to setting-relevant clinical guidance influences the implementation of evidence-based clinical practices in trauma care settings. This guidance is not optimally effective if it cannot be disseminated in settings where it is most needed, leading to substantial inequities in trauma care. To address this problem, this project developed a trauma clinical guidance repository and accompanying mobile application and sought to elicit concept feedback.

Methods As part of year two of the Design for Implementation: The Future of Trauma Clinical Guidance and Research Conference Series, conference attendees participated in interactive breakout sessions to generate user feedback and beta-test the clinical guidance repository and mobile application that was created after the first annual conference. A mixed methods approach using interactive discussions and a post-conference survey was administered in-person and virtually to elicit feedback from a largely academic, urban audience.

Results 56 post-conference survey responses were collected. Respondents provided detailed, in-depth feedback on the display and user features of the mobile application and gave input on what factors they would prioritize to maximize the tool’s adoption. Areas of positive feedback included the repository’s novel contribution as a clinical tool and its potential to aid clinicians in resource-constrained settings. Components of the tool that participants believed required further iteration included ensuring clear, concise language and making it more user-friendly to retrieve information during emergent situations efficiently. A prominent theme throughout the sessions and survey is the necessity of continuous opportunities for feedback from a wide range of stakeholders, both clinical and non-clinical.

Discussion For novel information dissemination platforms to be effective, clinical guidance must be continuously updated and presented in a user-friendly, logical format that allows clinicians to find and integrate information into practice seamlessly. Conceptual feedback will contribute to a better understanding of clinician needs, further elucidating the opportunities to match technology with bedside utility.

KEY POINTS Please include the key messages of your article after your abstract using the following headings. This section should be no more than 3-5 sentences and should be distinct from the abstract; be succinct, specific, and accurate.

What is already known on this topic – Disparities in access to timely, resource-relevant, evidence-informed clinical guidance currently leads to inequitable outcomes in trauma care.

What this study adds – Through interactive sessions, key partners provided input on the key factors that a novel clinical tool would need to address this gap in trauma care successfully.

How this study might affect research, practice, or policy – This study further elucidates clinician needs, which will ideally inform ongoing innovation among potential technology partners, ensuring that resources are invested aligned with patient and clinician needs first and foremost.

Katheryn Grider, Gabriela Zavala Wong, Ashley Moreno, and Lacey LaGrone report funding for the DFI conference was made possible in part by grant 1R13HS028940-01A1 from the Agency for Healthcare Research and Quality (AHRQ) paid to the Coalition for National Trauma Research. The AHRQ grant covered their costs for attending the conference. Ashley Moreno received financial support from The ReSource, LLC for additional DFI conference support. The Coalition for National Trauma Research has received a grant from the Gates Foundation to support the ongoing and adjacent DFI work. Within the 2025 Design for Implementation (DFI) Authorship Group: Babak Sarani is a consultant for Haemonetics, Belmont, Acumed, and a speaker for Haemonetics, Acumed, and Medtronic. Deborah M. Stein is a consultant for CSL Behring. Erik Van Eaton is a paid employee and shareowner at TransformativeMed Inc. (a health IT software company). Evert Eriksson is a speaker and educator for J&J and AO. Simon Oczkowski has received travel support from Fisher & Paykel Healthcare, and consulting fees from VitalAire and The Brain Trauma Foundation. Kristan Staudenmayer is a consultant for AIMedica and Credence Management Solutions. Jeffrey L. Wells and Kelly Lang each received a stipend for their DFI conference participation as trauma survivors/a caregiver from the ReSource, LLC. Elliott R. Haut reports research funding from AHRQ, PCORI, NIH/NHLBI. Dr. Haut is also the Editor of Trauma Surgery & Acute Care Open (TSACO). Simon Oczkowski has received travel support from Fisher & Paykel Healthcare, and consulting fees from VitalAire and The Brain Trauma Foundation.

The Design for Implementation: The Future of Trauma Research & Clinical Guidance (DFI) conference series was made possible, in part, by a conference grant from the Agency for Healthcare Research and Quality (1R13HS028940-01A1). The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government. The American Association for the Surgery of Trauma, American Burn Association, American Trauma Society, Eastern Association for the Surgery of Trauma, Chest Wall Injury Society, Society of Critical Care Medicine, Society of Trauma Nurses, and Trauma Center Association of America provided travel funds for representatives to attend the 2025 DFI meeting. The Eastern Association for the Surgery of Trauma and American Trauma Society provided travel funds for patient partners to attend. The Society of Trauma Nurses, Acera Surgical, and Tactuum provided additional financial support. The American College of Surgeons hosted the event in its Chicago offices and provided meeting management, facilities, and audiovisual equipment at no cost to the conference. Publication of this supplement is made possible by Medical Center of the Rockies, UCHealth (Loveland, Colorado, United States).

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

Yes

The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

This study was reviewed by the Colorado Multiple Institutional Review Board, CB F490; COMIRB No: 24-1608 and COMIRB #: 22-0626, and determined exempt from institutional review board review (waived ethical approval for this work).

I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.

Yes

I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

Yes

I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.

Yes

FUNDING STATEMENT

The Design for Implementation: The Future of Trauma Research & Clinical Guidance (DFI) conference series was made possible, in part, by a conference grant from the Agency for Healthcare Research and Quality (1R13HS028940-01A1). The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

The American Association for the Surgery of Trauma, American Burn Association, American Trauma Society, Eastern Association for the Surgery of Trauma, Chest Wall Injury Society, Society of Critical Care Medicine, Society of Trauma Nurses, and Trauma Center Association of America provided travel funds for representatives to attend the 2025 DFI meeting. The Eastern Association for the Surgery of Trauma and American Trauma Society provided travel funds for patient partners to attend. The Society of Trauma Nurses, Acera Surgical, and Tactuum provided additional financial support. The American College of Surgeons hosted the event in its Chicago offices and provided meeting management, facilities, and audiovisual equipment at no cost to the conference.

Publication of this supplement is made possible by Medical Center of the Rockies, UCHealth (Loveland, Colorado, United States).

CONFLICTS OF INTEREST

Katheryn Grider, Gabriela Zavala Wong, Ashley Moreno, and Lacey LaGrone report funding for the DFI conference was made possible in part by grant 1R13HS028940-01A1 from the Agency for Healthcare Research and Quality (AHRQ) paid to the Coalition for National Trauma Research. The AHRQ grant covered their costs for attending the conference. Ashley Moreno received financial support from The ReSource, LLC for additional DFI conference support. The Coalition for National Trauma Research has received a grant from the Gates Foundation to support the ongoing and adjacent DFI work.

Within the 2025 Design for Implementation (DFI) Authorship Group: Babak Sarani is a consultant for Haemonetics, Belmont, Acumed, and a speaker for Haemonetics, Acumed, and Medtronic. Deborah M. Stein is a consultant for CSL Behring. Erik Van Eaton is a paid employee and shareowner at TransformativeMed Inc. (a health IT software company). Evert Eriksson is a speaker and educator for J&J and AO. Simon Oczkowski has received travel support from Fisher & Paykel Healthcare, and consulting fees from VitalAire and The Brain Trauma Foundation. Kristan Staudenmayer is a consultant for AIMedica and Credence Management Solutions. Jeffrey L. Wells and Kelly Lang each received a stipend for their DFI conference participation as trauma survivors/a caregiver from the ReSource, LLC. Elliott R. Haut reports research funding from AHRQ, PCORI, NIH/NHLBI. Dr. Haut is also the Editor of Trauma Surgery & Acute Care Open (TSACO). Simon Oczkowski has received travel support from Fisher & Paykel Healthcare, and consulting fees from VitalAire and The Brain Trauma Foundation.

HUMAN SUBJECTS STATEMENT:

This study was reviewed by the Colorado Multiple Institutional Review Board, CB F490; COMIRB No: 24-1608 and COMIRB #: 22-0626, and determined exempt from institutional review board review.

All data produced in the present study are available upon reasonable request to the authors.