On-scene medical decision making and overtriage.
This study examined whether a hospital-based helicopter trauma service led to « overtriage » of patients back to the multispecialty base hospital. all accident-site triage decisions made during 1991 were studied.
Seven of the 574 decisions (1.2 per cent) led to inappropriate movement of the patient to a specialist centre.
Twenty-six decisions (4.5 per cent) were based of mechanism of injury alone and the possibility of overtriage by this method is discussed.
A trained doctor can select the correct destination for a patient with trauma without inappropriately using the base hospital in preference to local centres.
Mots-clés Pascal : Organisation santé, Traumatisme, Homme, Urgence, Hospitalisation, Triage
Mots-clés Pascal anglais : Public health organization, Trauma, Human, Emergency, Hospitalization, Sorting
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0017203
Code Inist : 002B27B14C. Création : 199406.