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.
Trauma care in Italy : evidence of in-hospital preventable deaths / N. Stocchetti, G. Pagliarini, M. Gennari, G. Baldi, E. Banchini, M. Campari, M. Bacchi, P. Zuccoli. - In: THE JOURNAL OF TRAUMA, INJURY, INFECTION, AND CRITICAL CARE. - ISSN 0022-5282. - 36:3(1994 Mar), pp. 401-405.
Trauma care in Italy : evidence of in-hospital preventable deaths
N. Stocchetti;
1994
Abstract
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.Pubblicazioni consigliate
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