- To examine the status of trauma system development and key structural and operational characteristics of these systems.
- National survey of trauma systems with enabling state statute, regulation, or executive orders and for which designated trauma centers were present.
- Trauma system components that had been implemented or were under development.
- From 1988 to 1993, the number of states meeting one set of criteria for a complete trauma system criteria increased from two to five.
The most common deficiency in establishing trauma systems was failure to limit the number of designated trauma centers based on community need.
Although most existing trauma systems have developed formal processes for designating trauma centers, prehospital triage protocols to allow hospital bypass, and centralized trauma registries, several systems lack standardized policies for interhospital transfer and systemwide evaluation.
- State and regional organizations have accomplished a great deal but still have substantial work ahead in developing comprehensive trauma systems.
Research is needed to better understand the relationship between trauma volume and outcomes of care as well as the impact of trauma system structure and operational characteristics on care delivery.
Mots-clés Pascal : Homme, Polytraumatisme, Organisation, Système, Soin, Etats Unis, Réanimation, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Human, Multiple injury, Organization, System, Care, United States, Resuscitation, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0336945
Code Inist : 002B30A04D. Création : 01/03/1996.