PMID: 9191661May 1, 1997Paper

Benchmarking the quality-monitoring process: a comparison of outcomes analysis by trauma and injury severity score (TRISS) methodology with the peer-review process

The Journal of Trauma
W F FallonM A Malangoni

Abstract

One measure of optimal function within a trauma center is the ability to critically examine outcomes from the process of care within the institution, yet guidelines for evaluation of the peer-review process are lacking. This study was conducted to determine the correlation between mortality analysis performed by the peer-review process (PR) within a trauma division and outcome analysis as determined by Trauma and Injury Severity Score (TRISS) methodology. The mortality peer-review data for an entire year at our level I trauma center served as the study population. Information was obtained on probability of survival, and a determination of preventability was made using standard, preexisting criteria. Peer review involves assigning each outcome to a specific category through the process of multidisciplinary assessment. Probability of survival data was not used for this purpose. Kappa analysis was performed to determine the degree of agreement in each category and then tested for significance. One hundred four deaths in 1,868 trauma patients (5.5%) were reviewed at our multidisciplinary conference. Outcomes were judged as preventable, potentially preventable, or nonpreventable. Death directly related to exsanguination was typicall...Continue Reading

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Citations

Apr 8, 1998·The British Journal of Surgery·D DemetriadesW Shoemaker
Nov 3, 2005·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Mark Fenig, David C Cone
Sep 1, 2012·Revista do Colégio Brasileiro de Cirurgiões·Carlos Dario da Silva Costa, Sandro Scarpelini
Feb 9, 2002·The Journal of Trauma·Rob NorrisAndrew B Peitzman
Jun 10, 2004·The Journal of Trauma·Eric BergeronAndre Lavoie
Jan 12, 2007·The Journal of Trauma·Berni T MartinLinda Breedlove
Dec 12, 2001·The Journal of Trauma·C E LucasP Yu
Feb 28, 2008·The Journal of Trauma·Rao R IvaturyNancy Martin
Nov 24, 2005·Emergency Medicine Australasia : EMA·Nathan BushbyMichael Bailey
Mar 1, 2014·BMC Pediatrics·Sakda Arj-ong VallipakornAmmarin Thakkinstian
Jul 13, 2006·The Journal of Trauma·David G JacobsMichael H Thomason

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