Havermans RJM, et al. - Researchers examined how the optimised in-hospital infrastructure affects mortality, processes and clinical outcomes. In this retrospective cohort study, prospectively collected data of adult trauma patients admitted to their trauma center during two time periods (2010–2012 and 2014–2016) were analyzed. In the period I, they included 1,290 patients, and in period II, 2,421 patients. Outcomes revealed improved survival rates in both severely injured patients as well as in the whole trauma population in correlation to the optimization of the in-hospital infrastructure related to trauma care. In addition, improvement in the processes and clinical outcomes were observed, indicating a shorter hospital length of stay, shorter trauma room time, fewer complications and fewer delayed diagnoses.