Analysis of Recurrent Process Errors Leading to Provider-Related Complications on an Organized Trauma Service

Db, Hoyt; Hollingsworth-Fridlund, Peggy; Rj, Winchell; Rk, Simons; Holbrook, Troy L.; Fortlage, Dale

doi:10.1097/00005373-199403000-00017

Cited by 57 publications

(29 citation statements)

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“…Although developed for a trauma population, the design of TRACS is applicable to general surgery. An advantage of the system is that it allows the registration of medical errors by specific codes 16,17 . In addition to entries that were recorded prospectively as errors, all other registered complications were reviewed retrospectively to screen for miscoded errors.…”

Section: Registration Methodsmentioning

confidence: 99%

Incidence, nature and impact of error in surgery

Bosma

Veen

Roukema

2011

British Journal of Surgery

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Section: Registration Methodsmentioning

confidence: 99%

Incidence, nature and impact of error in surgery

Bosma

Veen

Roukema

2011

British Journal of Surgery

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“…Delays in provision of hospital treatment and in particular in the recognition of hypovolemic shock and in the provision of appropriate and early surgery were highlighted as important contributions to this high inappropriate death rate. Recent reviews have shown a significant fall in the frequency of these avoidable deaths in the UK and North America [11,12]. These conclusions have been based, in part, on the use of injury scoring systems.…”

Section: Discussionmentioning

confidence: 99%

The Influence of Medical Care on the Death Rate from Trauma in England and South Moravia

Yates

Svoboda

Kantorová

2002

European Journal of Trauma

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Background: Trauma is the leading cause of death in humans from 5 to 45 years and one of the major causes of death and disability in all age groups. Medical care for trauma victims is burdensome and expensive. Aim of this study was to examine differences in trauma care and their effects on outcome in hospitals in England and South Moravia, Czech Republic. Patients and Methods: The data base of the Trauma Audit & Research Network was used to provide anonymous data of the process of trauma care in England and South Moravia. Admissions were analyzed over a 3-year period 1993-1995. In the study were included 1,853 patients directly admitted to Brno Traumatologic Hospital and 10,827 patients directly admitted to 15 hospitals in England. Patient characteristics were broadly similar (age 6-98, median 42 years, in Brno vs. 0-103, median 44 years, in England), and injury severity comparable in the two groups (Injury Severity Score [ISS] 1-75, median 9, in both Brno and England). Results: There were no differences in time to admission -in both groups was 62% of patients admitted to hospital within 60 min after injury. More senior doctors initially examined the patients in South Moravia than in England (92% vs. 32%). Transfer to the operating theater was more rapid in South Moravia (77% vs. 43% in < 2 h). The standardized W statistic (a measure of survival variation from the expected mean, per 100 patients) was +2.60 (95% confidence intervals [CI] +1.40 to +3.80) for the South Moravian patients and -0.61 (CI -1.04 to -0.18) for the English patients. Conclusion: These results suggest that the organization of medical care in the Brno Traumatologic Hospital in South Moravia is more effective in preventing death after trauma than that provided by a representative sample of 15 English hospitals.

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“…Subsequently, authors were able to perform studies by including patients that met the MTOS criteria. One of the major conclusions from such comparisons was that a further reduction of providerrelated morbidity has to be achieved by education and by adjustment of protocols for standard care delivery [19].…”

Section: Discussionmentioning

confidence: 99%

Documentation of Blunt Trauma in Europe Survey of the Current Status of Documentation and Appraisal of the Value of Standardization

et al. 2000

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During the last decade, several European communities have begun to perform multicenter approaches to document trauma care and trauma care outcome. So far every country has begun to do this without communicating with each other and no coordination has been performed. The current manuscript compares these modes of documentation, their advantages and evaluates options for future standardization. Even though to date a wide variety of structures is available, the value and the opportunities of a European-wide standardized documentation process is highlighted.

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Analysis of Recurrent Process Errors Leading to Provider-Related Complications on an Organized Trauma Service

Cited by 57 publications

References 0 publications

Incidence, nature and impact of error in surgery

Incidence, nature and impact of error in surgery

The Influence of Medical Care on the Death Rate from Trauma in England and South Moravia

Documentation of Blunt Trauma in Europe Survey of the Current Status of Documentation and Appraisal of the Value of Standardization

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