Trauma resource designation: an innovative approach to improving trauma system overtriage

Trauma Surgery & Acute Care Open
Gail T TominagaJess F Kraus

Abstract

Effective triage of injured patients is often a balancing act for trauma systems. As healthcare reimbursements continue to decline,1 innovative programs to effectively use hospital resources are essential in maintaining a viable trauma system. The objective of this pilot intervention was to evaluate a new triage model using 'trauma resource' (TR) as a new category in our existing Tiered Trauma Team Activation (TA) approach with hopes of decreasing charges without adversely affecting patient outcome. Patients at one Level II Trauma Center (TC) over seven months were studied. Patients not meeting American College of Surgeons criteria for TA were assigned as TR and transported to a designated TC for expedited emergency department (ED) evaluation. Such patients were immediately assessed by a trauma nurse, ED nurse, and board-certified ED physician. Diagnostic studies were ordered, and the trauma surgeon (TS) was consulted as needed. Demographics, injury mechanism, time to physician evaluation, time to CT scan, time to disposition, hospital length of stay (LOS), and in-hospital mortality were analyzed. Fifty-two of the 318 TR patients were admitted by the TS and were similar to TA patients (N=684) with regard to gender, mean Injury ...Continue Reading

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Citations

Jan 13, 2018·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Martin D RosenthalFrederick A Moore
Jul 26, 2018·World Journal of Surgery·P HoogervorstT Miclau
Mar 15, 2020·The Journal of Surgical Research·Rachel S MorrisChristopher J Tignanelli
May 6, 2021·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Carlos A PelaezRichard A Sidwell
May 21, 2021·Trauma Surgery & Acute Care Open·Imad S DandanWalter L Biffl

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