The quality of a trauma system can be assessed by the rate of preventable deaths. A random selected sample of 110 trauma patients was examined using both clinical and autopsy data. The assessors were asked the following question: If this patient had sustained the accident in front of the hospital in a normal working day, might death have been prevented? Death was found to be unavoidable in 61 cases, in 25 cases death was classified potentially preventable; 11 cases were classified as clearly preventable death. The main failures of treatment were identified as errors and delays during the first phases of in-hospital assessment and care. An improvement in the pre-hospital phase will be almost useless if the quality of the definitive in-hospital management is not addressed.
|Titolo:||Trauma care in Italy : evidence of in-hospital preventable deaths|
|Parole Chiave:||Adolescent ; Adult ; Aged ; Anoxia ; Child ; Craniocerebral Trauma ; Emergency Medical Services ; Female ; Humans ; Italy ; Male ; Middle Aged ; Sampling Studies ; Shock ; Wounds and Injuries|
|Settore Scientifico Disciplinare:||Settore MED/41 - Anestesiologia|
|Data di pubblicazione:||mar-1994|
|Appare nelle tipologie:||01 - Articolo su periodico|