Confidential enquiry into avoidable vehicle accident deaths in the province of Modena, Italy

Paolo Lauriola, F. Tosatti, A. Schiavi, M. Fiandri, G. Frank, M. Michelacci, M. A. Zoli, P. Castellini, S. Pelosi, P. Verderio, G. Duca, P. Morosini

Research output: Contribution to journalArticle

Abstract

The authors describe the methods and results of a kind of study - confidential enquiries into avoidable deaths - very rarely performed in the Mediterranean area. After assessing some quali/quantitative evaluation criteria, an independent expert panel investigated the quality of each step in emergency health care. Information was collected by clinical and forensic reports (clinical method). Of 102 cases, 4 were avoidable deaths and 18 probably avoidable. These results, which are comparable with other similar ones found in Italy (autoptic method) and abroad, have been useful in highlighting some health care errors: in particular, in on-site care and in emergency department diagnosis and treatment. Other avoidable factors emerging were the inappropriateness of transporting severe trauma cases to a small hospital lacking proper equipment and trained staff, and the importance of staff training in first emergency care of severe trauma on ambulance. This situation had been highlighted previously and led to implementation of trauma centres. The methods implemented turned out to be quite statistically reproducible and have been used in local health care planning, especially in the rearrangement of ambulance deployment and emergency staff training.

Original languageEnglish
Pages (from-to)67-74
Number of pages8
JournalEuropean Journal of Epidemiology
Volume16
Issue number1
DOIs
Publication statusPublished - 2000

Keywords

  • Avoidable deaths
  • Health sentinel events
  • Motor vehicle accidents

ASJC Scopus subject areas

  • Epidemiology

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    Lauriola, P., Tosatti, F., Schiavi, A., Fiandri, M., Frank, G., Michelacci, M., Zoli, M. A., Castellini, P., Pelosi, S., Verderio, P., Duca, G., & Morosini, P. (2000). Confidential enquiry into avoidable vehicle accident deaths in the province of Modena, Italy. European Journal of Epidemiology, 16(1), 67-74. https://doi.org/10.1023/A:1007687120935