Time for a change in injury and trauma care delivery: a trauma death review analysis.

Michael Sugrue; Erica Caldwell; Scott D'Amours; John Crozier; Peter Wyllie; Arthas Flabouris; Mark Sheridan; Bin Jalaludin

Study

Time for a change in injury and trauma care delivery: a trauma death review analysis.

December 10, 2008

Sugrue M, Caldwell E, D'Amours S, et al. ANZ J Surg. 2008;78(11):949-954.

View more articles from the same authors.

This study classifies the types and severity of errors in patients who were treated for trauma and subsequently died.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Acute clinical deterioration and consumer escalation: the understanding and perceptions of hospital staff.

August 31, 2022

Narrativizing errors of care: critical incident reporting in clinical practice.

July 20, 2005

The impact of introducing medical emergency team system on the documentations of vital signs.

December 17, 2008

The objective medical emergency team activation criteria: a case-control study.

February 28, 2007

Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion.

August 13, 2014

Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial.

June 29, 2005

The relationship between early emergency team calls and serious adverse events.

January 7, 2009

Triggers for emergency team activation: a multicenter assessment.

April 7, 2010

Timing and interventions of emergency teams during the MERIT study.

December 9, 2009

The medical emergency team system and not-for-resuscitation orders: results from the MERIT Study.

November 12, 2008

The long road to patient safety: a status report on patient safety systems.

December 14, 2005

Rural hospital patient safety systems implementation in two states.

August 29, 2007

Hospital patient safety: characteristics of best-performing hospitals.

June 20, 2007

Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records.

June 21, 2017

An analysis of near misses identified by anesthesia providers in the intensive care unit.

July 15, 2015

Using EMR-enabled computerized decision support systems to reduce prescribing of potentially inappropriate medications: a narrative review.

October 10, 2018

A considerative checklist to ensure safe daily patient review.

August 14, 2013

Nurses' perceptions of multidisciplinary team work in acute health-care.

February 21, 2007

The pros and cons of electronic prescribing for children.

July 27, 2011

An ethnographic study of health information technology use in three intensive care units.

August 30, 2017

Learning safe prescribing during post-take ward rounds.

June 8, 2011

Evidence of respiratory infection transmission within physician offices could inform outpatient infection control.

September 1, 2021

Declines in opioid prescribing after a private insurer policy change—Massachusetts, 2011–2015.

November 9, 2016

The impact of prolonged continuous wakefulness on resident clinical performance in the intensive care unit: a patient simulator study.

March 3, 2010

Utility and assessment of non-technical skills for rapid response systems and medical emergency teams.

October 16, 2013

Oncology care setting design and planning part I: concepts for the oncology nurse that improve patient safety.

April 30, 2008

A model of chemotherapy education for novice oncology nurses that supports a culture of safety.

October 31, 2007

Labeling solutions and medications in sterile procedural settings.

May 3, 2006

Developing a medication patient safety program — infrastructure and strategy.

March 7, 2007

Medical librarians supporting information systems project lifecycles toward improved patient safety.

February 3, 2010

The potential of Twitter as a data source for patient safety.

January 27, 2016

Quali-quantitative analysis: a new model for evaluation of unusual cases in hospital performance?

May 9, 2007

Creating a web-based incident analysis and communication system.

November 2, 2011

A randomized trial of nighttime physician staffing in an intensive care unit.

June 5, 2013

A prospective study of patient safety in the operating room.

February 22, 2006

Incidents during out-of-hospital patient transportation.

May 10, 2006

Assumptions of quality medicine: the role of uncertainty.

June 14, 2017

Color coding to reduce errors.

September 7, 2005

Toward safer health care: a review strategy of FDA medical device adverse event database to identify and categorize health information technology related events.

November 28, 2018

A human factors curriculum for surgical clerkship students.

January 5, 2011

Development of a research agenda to identify evidence-based strategies to improve physician wellness and reduce burnout.

April 26, 2017

Hospital discharge documentation and risk of rehospitalisation.

May 4, 2011

A usability and safety analysis of electronic health records: a multi-center study.

September 19, 2018

Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure.

July 16, 2008

Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives.

July 1, 2020

Nurse staffing and medication errors: cross-sectional or longitudinal relationships?

October 29, 2008

Preventing diagnostic errors in primary care.

October 12, 2016

Checklists to prevent diagnostic errors: a pilot randomized controlled trial.

July 8, 2015

Failure mode and effect analysis: a technique to prevent chemotherapy errors.

June 28, 2006

Improving Weekend Out Of Hours Surgical Handover (WOOSH).

May 25, 2016

The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care.

October 28, 2015

Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education.

April 4, 2007

Nurse's Achilles Heel: using big data to determine workload factors that impact near misses.

April 14, 2021

Potentially inappropriate medication use in hospitalized elders.

May 14, 2008

Differing perceptions of safety culture across job roles in the ambulatory setting: analysis of the AHRQ Medical Office Survey on Patient Safety Culture.

November 11, 2015

Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management.

December 22, 2010

What if?: Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning from Errors.

March 4, 2020

Fake and expired medications in simulation-based education: an underappreciated risk to patient safety.

March 23, 2016

Survival from in-hospital cardiac arrest during nights and weekends.

February 27, 2008

Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration.

January 9, 2019

Preventability and causes of readmissions in a national cohort of general medicine patients.

May 4, 2016

Clinician mindfulness and patient safety.

December 15, 2010

Checklists to reduce diagnostic errors.

February 9, 2011

Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study.

June 14, 2017

A multi-tiered approach to safety education.

August 7, 2013

Who killed patient safety?

July 20, 2022

Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives.

November 25, 2020

What interventions could reduce diagnostic error in emergency departments? A review of evidence, practice and consumer perspectives.

July 24, 2019

CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 million during 1990–2008.

June 18, 2014

Seasoned surgeons assessed in a laparoscopic surgical crisis.

May 13, 2009

Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP.

August 26, 2020

A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department.

February 1, 2012

Establishing a global learning community for incident-reporting systems.

November 10, 2010

Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety.

May 16, 2018

Exploration of prescribing error reporting across primary care: a qualitative study.

April 13, 2022

Improving quality through effective implementation of information technology in healthcare.

September 19, 2007

A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference?

January 30, 2005

Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information.

April 13, 2011

Improving RCA performance: the Cornerstone Award and the power of positive reinforcement.

August 17, 2011

Adoption factors associated with electronic health record among long-term care facilities: a systematic review.

February 18, 2015

Applying ethnography to the study of context in healthcare quality and safety.

January 22, 2014

Disclosure through our eyes.

March 19, 2008

Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison.

March 8, 2017

Biopsy site selfies—a quality improvement pilot study to assist with correct surgical site identification.

June 24, 2015

System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model.

January 20, 2016

Attitudes to patient safety amongst medical students and tutors: developing a reliable and valid measure.

October 28, 2009

Integrating CUSP and TRIP to improve patient safety.

November 24, 2010

The association between culture, climate and quality of care in primary health care teams.

July 11, 2007

Managing competing organizational priorities in clinical handover across organizational boundaries.

January 21, 2015

Hospital performance trends on national quality measures and the association with Joint Commission accreditation.

October 26, 2011

Electronic health record adoption and rates of in-hospital adverse events.

February 24, 2016

Findings of the first consensus conference on medical emergency teams.

August 16, 2006

Requirements for implementing a 'just culture' within healthcare organisations: an integrative review.

June 21, 2023

Walking the tightrope: communicating overdiagnosis in modern healthcare.

February 24, 2016

Developing critical thinking skills for delivering optimal care

July 28, 2021

How many hospital pharmacy medication dispensing errors go undetected?

January 31, 2006

Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members.

April 16, 2014

Outcomes of missed diagnosis of pediatric appendicitis, new-onset diabetic ketoacidosis, and sepsis in five pediatric hospitals.

September 13, 2023

Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modelling study.

August 19, 2020

Direct reporting of laboratory test results to patients by mail to enhance patient safety.

July 26, 2006

Related Resources

Interview

In Conversation with Dr. Neal Sikka and Dr. Colton Hood about Remote Patient Monitoring

March 15, 2023

Perspective

Remote Patient Monitoring

March 15, 2023

WebM&M Cases

Management of Cardiac Arrest in Unconventional Locations.

May 16, 2022

Misdiagnosis of acute myocardial infarction: a systematic review of the literature.

October 6, 2021

Simulation-based education enhances patient safety behaviors during central venous catheter placement.

September 15, 2021

Framing of clinical information affects physicians' diagnostic accuracy.

August 28, 2019

Consumers' perspectives on their involvement in recognizing and responding to patient deterioration—developing a model for consumer reporting.

July 24, 2019

Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety?

April 24, 2019

Differential safety between top-ranked cancer hospitals and their affiliates for complex cancer surgery.

April 24, 2019

Reasons for repeat rapid response team calls, and associations with in-hospital mortality.

February 6, 2019

Factors associated with emergency department visits and hospital admissions after invasive outpatient procedures in the Veterans Health Administration.

May 30, 2018

Drug calculation ability of qualified paramedics: a pilot study.

February 28, 2018

Task errors by emergency physicians are associated with interruptions, multitasking, fatigue and working memory capacity: a prospective, direct observation study.

January 31, 2018

Prognosis of undiagnosed chest pain: linked electronic health record cohort study.

April 19, 2017

Design and reliability of a specific instrument to evaluate patient safety for patients with acute myocardial infarction treated in a predefined care track: a retrospective patient record review study in a single tertiary hospital in the Netherlands.

April 5, 2017

Factors that drive team participation in surgical safety checks: a prospective study.

March 23, 2016

A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement.

January 27, 2016

The effect of a staged, emergency department specific rapid response system on reporting of clinical deterioration.

January 6, 2016

Impact of automated dispensing cabinets on medication selection and preparation error rates in an emergency department: a prospective and direct observational before-and-after study.

October 7, 2015

In situ simulated cardiac arrest exercises to detect system vulnerabilities.

June 10, 2015

Sustainability and long-term effectiveness of the WHO surgical safety checklist combined with pulse oximetry in a resource-limited setting: two-year update from Moldova.

April 8, 2015

Emergency physicians' views of direct notification of laboratory and radiology results to patients using the internet: a multisite survey.

March 25, 2015

A team-based approach to reducing cardiac monitor alarms.

November 26, 2014

Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery.

November 26, 2014

Rapid response systems.

November 26, 2014

Incidents resulting from staff leaving normal duties to attend medical emergency team calls.

November 12, 2014

Barriers and enablers affecting patient engagement in managing medications within specialty hospital settings.

October 22, 2014

Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology.

October 15, 2014

Review article: improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient.

November 13, 2013

The effect of computerized provider order entry systems on clinical care and work processes in emergency departments: a systematic review of the quantitative literature.

May 22, 2013

See More About The Topic

Specialty Hospitals

Health Care Providers

Health Care Executives and Administrators

Emergency Medicine

Cardiology

Time for a change in injury and trauma care delivery: a trauma death review analysis.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Time for a change in injury and trauma care delivery: a trauma death review analysis.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site