Preventable deaths among major trauma patients in Mersey Region, North Wales and the Isle of Man

Gorman, D.F.; Teanby, D.N.; Sinha, Madhu; Wotherspoon, Jane; Boot, D. A.; Molokhia, Ashraf

doi:10.1016/0020-1383(95)00200-6

Cited by 28 publications

(10 citation statements)

References 15 publications

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“…The preventable and potentially preventable traumatic death rates is a concept that has been used in the United States and the United Kingdom to evaluate treatments for injured patients since the 1960s 35814). South Korea performed the evaluation three times in total from 1997 to 2009, and the whole preventable death rate has been gradually decreasing and is currently comparable to that of advanced countries.…”

Section: Discussionmentioning

confidence: 99%

Preventable and Potentially Preventable Traumatic Death Rates in Neurosurgery Department: A Single Center Experience

Kim

Choi

et al. 2016

Korean J Neurotrauma

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ObjectivePreventable and potentially preventable traumatic death rates is a method to evaluate the preventability of the traumatic deaths in emergency medical department. To evaluate the preventability of the traumatic deaths in patients who were admitted to neurosurgery department, we performed this study.MethodsA retrospective review identified 52 patients who admitted to neurosurgery department with severe traumatic brain injuries between 2013 and 2014. Based on radiologic and clinical state at emergency room, each preventability of death was estimated by professional panel discussion. And the final death rates were calculated.ResultsThe preventable and potentially preventable traumatic death rates was 19.2% in this study. This result is lower than that of the research of 2012, Korean preventable and potentially preventable traumatic death rates. The rate of preventable and potentially preventable traumatic death of operation group is lower than that of conservative treatment group. Also, we confirmed that direct transfer and the time to operation are important to reduce the preventability.ConclusionWe report the preventable and potentially preventable traumatic death rates of our institute for evaluation of preventability in severe traumatic brain injuries during the last 2 years. For decrease of preventable death, we suggest that continuous survey of the death rate of traumatic brain injury patients is required.

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Section: Discussionmentioning

confidence: 99%

Preventable and Potentially Preventable Traumatic Death Rates in Neurosurgery Department: A Single Center Experience

Kim

Choi

et al. 2016

Korean J Neurotrauma

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“…In high-income countries, studies have shown that of those that die due to a RTI, 50% will die within minutes after the incident or on the way to the hospital, 15% die within the first 4 hours, and 35% die after 4 hours 5 . In low- and middle-income countries (LMIC), the majority of deaths occur among victims before arriving at a health care facility (HCF), indicating that many deaths and complications could be prevented via adequate initial management and response 5– 8 . The experiences of developing countries with regards to evaluating the care of RTI victims are scarce and unsystematic 9 .…”

Section: Introductionmentioning

confidence: 99%

Patient perspectives on the promptness and quality of care of road traffic incident victims in Peru: a cross-sectional, active surveillance study

Miranda¹,

Rosales-Mayor²,

Quistberg

et al. 2013

F1000Res

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Background: Road injuries are the second-leading cause of disease and injury in the Andean region of South America. Adequate management of road traffic crash victims is important to prevent and reduce deaths and serious long-term injuries. Objective: To evaluate the promptness of health care services provided to those injured in road traffic incidents (RTIs) and the satisfaction with those services during the pre-hospital and hospital periods. Methods: We conducted a cross-sectional study with active surveillance to recruit participants in emergency departments at eight health care facilities in three Peruvian cities: a large metropolitan city (Lima) and two provincial cities (an urban center in the southern Andes and an urban center in the rainforest region), between August and September 2009. The main outcomes of interest were promptness of care, measured by time between injury and each service offered, as well as patient satisfaction measured by the Service Quality (SERVQUAL) survey. We explored the association between outcomes and city, type of health care facility (HCF), and type of provider. Results: We recruited 644 adults seeking care for RTIs. This active surveillance strategy yielded 34% more events than anticipated, suggesting under-reporting in traditional registries. Median response time between a RTI and any care at a HCF was 33 minutes overall and only 62% of participants received professional care during the initial “golden” hour after the RTI. After adjustment for various factors, there was strong evidence of higher global dissatisfaction levels among those receiving care at public HCFs compared to private ones (odds ratio (OR) 5.05, 95% confidence interval (CI) 1.88-13.54). This difference was not observed when provincial sites were compared to Lima (OR 1.41, 95% CI 0.42-4.70). Conclusions: Response time to RTIs was adequate overall, though a large proportion of RTI victims could have received more prompt care. Overall, dissatisfaction was high, mainly at public institutions indicating much need for improvements in service provision.

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“…The reported rate of avoidable death after injury is from 10 to 25 percent [3,4]. Training of trauma teams with simulated patients is an option when the regular case load is insufficient to maintain and develop experience and expertise in treating these patients.…”

mentioning

confidence: 99%

Mannequin or standardized patient: participants' assessment of two training modalities in trauma team simulation

Wisborg

Brattebø

Brinchmann-Hansen

et al. 2009

Scand J Trauma Resusc Emerg Med

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BackgroundTrauma team training using simulation has become an educational compensation for a low number of severe trauma patients in 49 of Norway's 50 trauma hospitals for the last 12 years. The hospitals' own simple mannequins have been employed, to enable training without being dependent on expensive and advanced simulators. We wanted to assess the participants' assessment of using a standardized patient instead of a mannequin.MethodsTrauma teams in five hospitals were randomly exposed to a mannequin or a standardized patient in two consecutive simulations for each team. In each hospital two teams were trained, with opposite order of simulation modality. Anonymous, written questionnaires were answered by the participants immediately after each simulation. The teams were interviewed as a focus group after the last simulation, reflecting on the difference between the two simulation modalities. Outcome measures were the participants' assessment of their own perceived educational outcome and comparison of the models, in addition to analysis of the interviews.ResultsParticipants' assessed their educational outcome to be high, and unrelated to the order of appearance of patient model. There were no differences in assessment of realism and feeling of embarrassment. Focus groups revealed that the participants felt that the choice between educational modalities should be determined by the simulated case, with high interaction between team and patient being enhanced by a standardized patient.ConclusionParticipants' assessment of the outcome of team training seems independent of the simulation modality when the educational goal is training communication, co-operation and leadership within the team.

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Preventable deaths among major trauma patients in Mersey Region, North Wales and the Isle of Man

Cited by 28 publications

References 15 publications

Preventable and Potentially Preventable Traumatic Death Rates in Neurosurgery Department: A Single Center Experience

Preventable and Potentially Preventable Traumatic Death Rates in Neurosurgery Department: A Single Center Experience

Patient perspectives on the promptness and quality of care of road traffic incident victims in Peru: a cross-sectional, active surveillance study

Mannequin or standardized patient: participants' assessment of two training modalities in trauma team simulation

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