Analysis of recurrent process errors leading to provider-related complications on an organized trauma service : directions for care improvement. Discussion.
Complications in trauma care occur because of provider-related or patient disease-related events.
Strictly defined standardized definitions of both types of complications are needed to develop strategies for problem resolution.
The frequency and characteristics of 135 disease-related and provider-related complications were examined for a 3-year period in a level I university trauma service in all patients meeting Major Trauma Outcome Study (MTOS) criteria.
Provider-related complications were analyzed for recurrent process errors to be targeted for corrective action.
Complication events occurred in 2764 of 3327 patients, with provider-related complications in 759.
Twenty-three percent (175) of complications were judged unjustified and 16 patterns of recurrent process-of-care errors were identified.
Mots-clés Pascal : Traitement, Homme, Service hospitalier, Qualité, Soin, Traumatisme
Mots-clés Pascal anglais : Treatment, Human, Hospital ward, Quality, Care, Trauma
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0495609
Code Inist : 002B30A01C. Création : 199501.