American College of Surgeons, Committee on Trauma Verification Review: Does it Really Make a Difference?
Autor: | Peter Mucha, Stephanie Kincaid, Peter F. Ehrlich, Sherry Rockwell |
---|---|
Rok vydání: | 2002 |
Předmět: |
medicine.medical_specialty
Pediatrics Quality Assurance Health Care Hospitals Rural media_common.quotation_subject MEDLINE Traumatology Critical Care and Intensive Care Medicine law.invention Hospitals University Trauma Centers Excellence law Health care medicine Humans Registries Societies Medical Health policy media_common Analysis of Variance business.industry Emergency department West Virginia Trauma care Intensive care unit United States Outcome and Process Assessment Health Care Emergency medicine Surgery business |
Zdroj: | The Journal of Trauma: Injury, Infection, and Critical Care. 53:811-816 |
ISSN: | 0022-5282 |
Popis: | Background: Although not directly involved in designation per se, the American College of Surgeons (ACS) Committee on Trauma verification/consultation program in conjunction with Resources for Optimal Care of the Injured Patient has set the national standards for trauma care. This study analyzes the impact of a recent verification process on an academic health center. Methods: Performance improvement data were generated monthly from the hospital trauma registry. Forty-seven clinical indicators were reviewed. Three study periods were defined for comparative purposes: PRE (January, June, October 1997), before verification/consultation; CON (April 1999-October 1999), after reorganization; and VER (November 1999-September 2000), from consultation to verification. Results: Statistically significant (p < 0.05) quantitative and qualitative changes were observed in numbers (percent) of patients reaching clinical criteria. These included prehospital, emergency department, and hospital-based trauma competencies. Trauma patient evaluation (including radiology) and disposition out of the emergency department (< 120 minutes) improved in each study section (PRE, 21%; CON, 48%; VER, 76%). Enhanced nursing documentation correlated with improved clinical care such as early acquisition of head computed axial tomographic scans in neurologic injured patients (PRE, 66%; CON, 97%; VER, 95%). Intensive care unit length of stay (< 7 days) decreased (PRE, 87%; VER, 97.8%). Other transformations included increase in institutional morale with recognition of trauma excellence within the hospital and resurgence of the trauma research programs (60 institutional review board-approved projects). Conclusion: The ACS verification/ consultation program had a positive influence on this developing academic trauma program. Preparation for ACS verification/consultation resulted in significant improvements in patient care, enhancement of institutional pride, and commitment to care of the injured patient.. |
Databáze: | OpenAIRE |
Externí odkaz: |