Singh N, et al. - Considering the improvement in patient outcomes in association with Trauma Quality Improvement Program participation among all trauma centers, researchers investigated trauma quality events occurring during the Emergency Department (ED) phase of care. In this single-center observational study performed using consecutively registered data in local trauma registry (Jan 1, 2016–Jun 30, 2017), they enrolled 5160 cases. Of these, 605 cases were deemed ED quality improvement (QI) cases and 457 cases were ED provider related. Observations thus suggest that in trauma care, provider-related issues are a common contributor to undesirable outcomes. No significant association with poor trauma quality care was noted of ED crowding. They suggest unfavorable outcomes in ED trauma care to be linked with prolonged ED LOS (≥2h).