Analysis of American College of Surgeons trauma consultation program. Commentary.
Western Surgical Association. Annual scientific session. Palm Desert CA USA, 1994/11/14.
To identify the criteria deficiencies found during peer consultation of hospitals and the relationship to subsequent verification.
Between September 1987 and December 1992, 52 hospitals had consultation visits using American College of Surgeons criteria.
There are 108 American College of Surgeons criteria.
Thirty-five different criteria deficiencies were found.
The number of deficiencies per hospital ranged from zero to 12.
No hospital that lacked commitment of surgeons (n=12) or hospital (n=3) requested a verification visit.
Twenty-four hospitals (46%) achieved verification by February 1994.
Twenty-eight hospitals had six or fewer deficiencies, with 19 (68%) verified.
Twenty-four hospitals had seven or more deficiencies, with only five (21%) subsequently verified.
Verification visits followed consultation by 3 to 52 months.
Two hospitals with nine deficiencies were verified after 30 and 48 months, although one failed its first verification visit.
American College of Surgeons consultation assists hospitals to identify their trauma center capability and appears to improve their ability to pass subsequent trauma center verification.
Most criteria deficiencies are correctable
Lack of commitment by the surgeons or hospital is difficult to correct.
There is an inverse relationship between the number of deficiencies and subsequent verification.
Mots-clés Pascal : Traumatisme, Chirurgie, Centre hospitalier universitaire, Consultation hospitalière, Méthode, Surveillance, Programme sanitaire, Etats Unis, Homme, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Trauma, Surgery, Teaching hospital, Hospital consultation, Method, Surveillance, Sanitary program, United States, Human, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0363544
Code Inist : 002B30A01C. Création : 01/03/1996.