Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
1986-10-20
pubmed:abstractText
To assess the need for a trauma system in San Diego County, a concurrent audit of trauma care was performed by an independent consultant in 1982. During the study period from 15 March through 15 June 1982, 591 consecutive major trauma victims (MTV) were collected by the 30 participating hospitals. All medical records, including autopsy reports, were audited for the timeliness and appropriateness of diagnosis and definitive care. Deaths were classified as being not preventable, potentially salvageable, or preventable. A trauma system subsequently became functional on 1 August 1984, with five adult centers and one pediatric center. A Medical Audit Committee composed of physicians and nurses from designated and nondesignated hospitals was organized to perform a monthly concurrent audit of trauma care. Between 1 August and 31 December 1984, 1,366 MTV were triaged to trauma centers. The care of MTV was considered suboptimal in 32% of patients before regionalization, compared to 4.2% after regionalization (p less than 0.01). Preventable deaths occurred in 13.6% of fatalities occurring before implementation of a trauma system, compared to 2.7% after implementation (p less than 0.01). Regionalization of trauma care significantly reduced delays, inadequate care, and preventable deaths due to trauma.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0022-5282
pubmed:author
pubmed:issnType
Print
pubmed:volume
26
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
812-20
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:3746956-Adolescent, pubmed-meshheading:3746956-Adult, pubmed-meshheading:3746956-Aged, pubmed-meshheading:3746956-California, pubmed-meshheading:3746956-Child, pubmed-meshheading:3746956-Child, Preschool, pubmed-meshheading:3746956-Concurrent Review, pubmed-meshheading:3746956-Emergency Medical Services, pubmed-meshheading:3746956-Emergency Service, Hospital, pubmed-meshheading:3746956-Female, pubmed-meshheading:3746956-Humans, pubmed-meshheading:3746956-Infant, pubmed-meshheading:3746956-Life Support Care, pubmed-meshheading:3746956-Male, pubmed-meshheading:3746956-Medical Audit, pubmed-meshheading:3746956-Middle Aged, pubmed-meshheading:3746956-Quality of Health Care, pubmed-meshheading:3746956-Regional Medical Programs, pubmed-meshheading:3746956-Time, pubmed-meshheading:3746956-Trauma Centers, pubmed-meshheading:3746956-Utilization Review, pubmed-meshheading:3746956-Wounds and Injuries
pubmed:year
1986
pubmed:articleTitle
The effect of regionalization upon the quality of trauma care as assessed by concurrent audit before and after institution of a trauma system: a preliminary report.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, U.S. Gov't, P.H.S.