PMID: 9446237Jan 31, 1998Paper

Quality management in early clinical multiple trauma care. Documentation of treatment and evaluation of critical care quality

Der Unfallchirurg
B ZintlL Schweiberer

Abstract

Quality management in early clinical care of patients with multiple injuries (description of actual process, identification of problems, implementation of quality improvement) is not possible without sufficient baseline data about the present situation of medical treatment. This study investigates whether the current documentation of treatment in the emergency room is appropriate to judge upon the quality of the process and to detect problems. In addition, a set of baseline data is presented. The performance in the treatment of 126 multiple injured patients was prospectively recorded from 1988 to 1993 and compared with an idealized process based upon an algorithm. The quality of present data recording was analysed, and criteria for judgement of quality of care were assessed. The algorithm was divided into 117 possible steps (one step consisting of a single decision criterion, the decision and the corresponding procedure). Per patient, only 61% +/- 12% of these steps were sufficiently documented to allow judgement. Using several criteria for assessment, the following baseline data could be observed (times shown refer to admission to the trauma room): (1) trauma room time of 129 +/- 55 min; (2) completion of basic radiological an...Continue Reading

Citations

Dec 17, 2009·Der Anaesthesist·C SiebersK-G Kanz
Aug 26, 2006·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·D Nast-KolbG Taeger
Aug 13, 2010·Journal of Medical Systems·Torben K BeckerMichael Bernhard
Aug 12, 2003·International Journal of Medical Informatics·Jürgen StausbergSteffen Ruchholtz
Nov 21, 2008·World Journal of Emergency Surgery : WJES·Stefano Massimiliano CalderaleFranco Baldoni
Feb 1, 2007·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Matthias HelmLorenz Lampl
Apr 1, 2012·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·M MuhmH Winkler
Dec 6, 2011·Wiener klinische Wochenschrift·Silke AldrianStefan Hajdu
Jul 26, 2015·Emergency Radiology·Markus MuhmThomas Ruffing

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