Undertriage of elderly trauma patients to state-designated trauma centers.

David C. Chang; Robert R. Bass; Edward E. Cornwell; Ellen J. Mackenzie

Study

Undertriage of elderly trauma patients to state-designated trauma centers.

October 8, 2008

Chang DC, Bass RR, Cornwell EE, et al. Arch Surg. 2008;143(8):776-782.

View more articles from the same authors.

Elderly patients were systematically less likely to be transferred to a designated trauma center, despite appropriate clinical indications.

PubMed citation

Full free text

Related Resources From the Same Author(s)

Patient safety: where to aim when zero harm is not the target-a case for learning and resilience.

August 31, 2022

Bending the patient safety curve: how much can AI help?

February 1, 2023

Physicians' needs in coping with emotional stressors: the case for peer support.

March 29, 2012

Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality.

September 26, 2007

Association of measured quality with financial health among U.S. hospitals.

May 4, 2022

The occurrence of potential patient safety events among trauma patients: are they random?

March 5, 2008

Veterans Health Administration response to the COVID-19 crisis: surveillance to action.

October 26, 2022

Association of surgeon-patient sex concordance with postoperative outcomes,

December 22, 2021

Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations.

August 17, 2022

Disparities in adverse event reporting for hospitalized children.

August 3, 2022

Association of measured quality and future financial performance among hospitals performing cardiac surgery.

December 7, 2022

Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial.

December 2, 2020

Research to improve diagnosis: time to study the real world.

January 26, 2022

Honest communication and social asymmetries inside a hospital: pitfalls for clinicians.

June 15, 2022

Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care.

May 20, 2015

Association of patient and family reports of hospital safety climate with language proficiency in the US.

June 29, 2022

Association of low-dose whole-body computed tomography with missed injury diagnoses and radiation exposure in patients with blunt multiple trauma.

February 5, 2020

Association between surgeon technical skills and patient outcomes.

September 9, 2020

Body mass index category and adverse events in hospitalized children.

July 27, 2022

Incidence, nature and impact of error in surgery.

August 3, 2011

Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture.

September 2, 2020

Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review.

May 5, 2021

Addressing the opioid epidemic in the United States: lessons from the Department of Veterans Affairs.

April 5, 2017

Effects of state opioid prescribing laws on use of opioid and other pain treatments among commercially insured U.S. adults.

March 30, 2022

The burden of opioid-related mortality in the United States.

July 18, 2018

Could CDC guidelines be driving some opioid patients to suicide?

March 20, 2019

Interruption handling strategies during paediatric medication administration.

August 29, 2012

Organizational and cultural changes for providing safe patient care.

August 3, 2005

A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout.

September 2, 2020

Failure to engage hospitalized elderly patients and their families in advance care planning.

April 10, 2013

A learning health system agenda for organizational approaches to enhancing occupational well-being among clinicians.

May 25, 2022

Accuracy of pediatric trauma field triage: a systematic review.

May 30, 2018

Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices.

October 28, 2020

A target to achieve zero preventable trauma deaths through quality improvement.

April 25, 2018

Improving clinician well-being and patient safety through human-centered design.

March 8, 2023

Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical center.

October 21, 2020

Guidelines for opioid prescribing in children and adolescents after surgery: an expert panel opinion.

December 2, 2020

Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event".

August 5, 2020

Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths.

March 24, 2021

Antidepressant and antipsychotic medication errors reported to United States poison control centers.

November 28, 2018

Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis.

December 8, 2021

Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients.

April 28, 2021

The Science of Simulation in Healthcare: Defining and Developing Clinical Expertise.

November 19, 2008

Influence of organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric units.

September 1, 2021

Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper.

April 21, 2021

Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment.

May 3, 2017

Assessment of changes in visits and antibiotic prescribing during the Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic.

July 20, 2022

Remote patient monitoring during COVID-19: an unexpected patient safety benefit.

March 23, 2022

Severe staffing and personal protective equipment shortages faced by nursing homes during the COVID-19 pandemic.

September 16, 2020

Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network.

June 11, 2008

Fundamentals of diagnostic error in imaging.

October 10, 2018

Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States.

June 22, 2022

Preventing patient positioning injuries in the nonoperating room setting.

August 24, 2022

Trends in adverse event rates in hospitalized patients, 2010-2019.

July 27, 2022

Association of opioid prescribing with opioid consumption after surgery in Michigan.

November 21, 2018

Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality.

August 3, 2022

Association between operative autonomy of surgical residents and patient outcomes.

March 23, 2022

The National Emergency Department Safety Study: study rationale and design.

January 9, 2008

Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments.

October 26, 2022

Improving diagnosis: adding context to cognition.

September 7, 2022

Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative.

November 22, 2017

Measures and measurement of high-performance work systems in health care settings: propositions for improvement.

February 9, 2011

Association between hospital acquired harm outcomes and membership in a national patient safety collaborative.

August 10, 2022

Association of past and future paid medical malpractice claims.

March 1, 2023

Cognitive bias and public health policy during the COVID-19 pandemic.

July 22, 2020

Patient and hospital characteristics associated with delayed diagnosis of appendicitis.

February 1, 2023

DEEP SCOPE: a framework for safe healthcare design.

October 13, 2021

Behavioral & Mental Health Toolbox.

March 7, 2018

Analysis of consistency in emergency department physician variation in propensity for admission across patient sociodemographic groups.

October 13, 2021

Association of interruptions with an increased risk and severity of medication administration errors.

May 5, 2010

Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New York City.

July 29, 2020

Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls: a qualitative study.

May 5, 2021

Effectiveness and efficiency of root cause analysis in medicine.

February 27, 2008

Patient mortality during unannounced accreditation surveys at US hospitals.

April 5, 2017

Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey.

February 12, 2020

The safety of emergency care systems: results of a survey of clinicians in 65 US emergency departments.

March 4, 2009

Complexity and challenges of the clinical diagnosis and management of Long COVID.

November 30, 2022

Stroke hospitalization after misdiagnosis of "benign dizziness" is lower in specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods.

July 21, 2021

Wrong-site surgery.

December 13, 2017

Intervention study for the reduction of medication errors in elderly trauma patients.

September 2, 2020

Identifying risk in the use of tumor markers to improve patient safety.

May 4, 2016

What's the difference between a hospital and a bottling factory?

August 5, 2009

Rates of surgical consultations after emergency department admission in Black and White Medicare patients.

October 26, 2022

Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls.

January 25, 2023

Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes.

January 25, 2012

Safety.

June 15, 2016

Association of state-level opioid-reduction policies with pediatric opioid poisoning.

August 5, 2020

Diagnostic excellence through the lens of patient-centeredness.

December 8, 2021

Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Hospital Initiatives to Reduce Certain Infections.

October 15, 2008

Suicide and suicide attempts on hospital grounds and clinic areas.

August 11, 2021

Another medical malpractice crisis?: Try something different.

October 14, 2020

The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned.

March 17, 2021

A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change.

June 15, 2016

Association of hospital public quality reporting with electronic health record medication safety performance.

October 6, 2021

A systematic review of trauma crew resource management training: what can the United States and the United Kingdom learn from each other?

September 2, 2020

Clinicians' expectations of the benefits and harms of treatments, screening, and tests: a systematic review.

February 1, 2017

Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure.

March 9, 2022

Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections.

April 30, 2008

Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids.

August 25, 2021

Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective survey.

February 20, 2008

Related Resources

Factors influencing witnesses' perception of patient safety during pre-hospital health care from emergency medical services: a multi-center cross-sectional study.

February 14, 2024

Overnight stay in the emergency department and mortality in older patients.

November 29, 2023

Harm Caused by Delays in Transferring Patients to the Right Place of Care.

September 6, 2023

Improving emergency medicine clinician awareness of prehospital-administered medications.

August 9, 2023

WebM&M Cases

Failure to adhere to dietary restrictions leading to complications and poor follow-up.

July 31, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study.

May 24, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference.

March 1, 2023

Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening program in an urban emergency department in the US.

February 22, 2023

WebM&M Cases

EMS Perils from Hospital Overcrowding

August 31, 2022

Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study.

May 18, 2022

Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme.

January 19, 2022

Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database.

December 1, 2021

Perspectives on Safety

EMS Patient Safety in the Field

July 28, 2021

Interview

In Conversation With... James Augustine, MD

July 28, 2021

Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility.

July 21, 2021

Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths.

March 24, 2021

High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients.

February 17, 2021

Prehospital naloxone and emergency department adverse events: a dose-dependent relationship.

November 25, 2020

The accuracy of preliminary diagnoses made by paramedics - a cross-sectional comparative study.

October 7, 2020

Intervention study for the reduction of medication errors in elderly trauma patients.

September 2, 2020

How accurately do older adult emergency department patients recall their medications?

August 12, 2020

Beyond 'find and fix': improving quality and safety through resilient healthcare systems.

April 15, 2020

Adverse events in long-term care residents transitioning from hospital back to nursing home.

August 7, 2019

Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference.

July 24, 2019

Diagnostic accuracy of physician-staffed emergency medical teams: a retrospective observational cohort study of prehospital versus hospital diagnosis in a 10-year interval.

June 26, 2019

The dangers of ignoring the Beers criteria—the prescribing cascade.

May 22, 2019

Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature.

May 15, 2019

Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors.

April 3, 2019

See More About The Topic

Patient Transport

Emergency Departments

Health Care Providers

Emergency Medicine

Geriatrics

Undertriage of elderly trauma patients to state-designated trauma centers.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Undertriage of elderly trauma patients to state-designated trauma centers.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

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