Extending Trauma Quality Improvement Beyond Trauma Centers

Trauma patients frequently receive care at non-trauma accredited facilities. A recent study featuring PISC Executive Committee Member Daniel N. Holena, MD, evaluates trauma outcomes across non-trauma hospitals. Between January 1st, 2013, and December 31st, 2015, the team assessed 37,670 from 100 non-trauma. Results indicate that overall, significant variations in trauma outcomes exist across non-trauma hospitals. Data analysis indicates a 3-fold variation in mortality rates, a 46-fold variation in interfacility transfer rates, and a 3-fold ED length of stay variation. Moreover, metropolitan hospitals were associated with increased patient mortality. The team concludes, “efforts to improve trauma quality should include engagement of non-trauma hospitals to reduce variation in outcomes of injured patients.”

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