Patterns of Death, Complication, and Error in the Management of Motor Vehicle Accident VictimsImplications for a Regional System of Trauma Care
作者:
DANIEL LOWE,
HUGH GATELY,
J. GOSS,
CECILIA FREY,
CLARE PETERSON,
期刊:
The Journal of Trauma: Injury, Infection, and Critical Care
(OVID Available online 1983)
卷期:
Volume 23,
issue 6
页码: 503-509
ISSN:0022-5282
年代: 1983
出版商: OVID
数据来源: OVID
摘要:
A nonautopsy, retrospective analysis of severe motor-vehicle accident trauma can provide valuable information in regard to volume of trauma and quality of care. In a 6-county region surrounding a large metropolitan area trauma care, as reviewed by this method, had deficiencies at all levels of delivery. Patients were taken to the nearest hospital. Hospitals then had not been classified or designated according to capability. Twenty=-five per cent of the fatalities and 16% of all outcomes were considered inappropriate for the severity of injury incurred. A regional trauma system with categorization and designation of hospitals providing trauma care would have eliminated or improved these deficiencies, resulting in improved outcomes for a significant percentage of these patients.
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