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 language | English |
|---|---|
| Pages (from-to) | 67-74 |
| Number of pages | 8 |
| Journal | European Journal of Epidemiology |
| Volume | 16 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 2000 |
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Keywords
- Avoidable deaths
- Health sentinel events
- Motor vehicle accidents
ASJC Scopus subject areas
- Epidemiology
Cite this
Confidential enquiry into avoidable vehicle accident deaths in the province of Modena, Italy. / Lauriola, Paolo; Tosatti, F.; Schiavi, A.; Fiandri, M.; Frank, G.; Michelacci, M.; Zoli, M. A.; Castellini, P.; Pelosi, S.; Verderio, P.; Duca, G.; Morosini, P.
In: European Journal of Epidemiology, Vol. 16, No. 1, 2000, p. 67-74.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Confidential enquiry into avoidable vehicle accident deaths in the province of Modena, Italy
AU - Lauriola, Paolo
AU - Tosatti, F.
AU - Schiavi, A.
AU - Fiandri, M.
AU - Frank, G.
AU - Michelacci, M.
AU - Zoli, M. A.
AU - Castellini, P.
AU - Pelosi, S.
AU - Verderio, P.
AU - Duca, G.
AU - Morosini, P.
PY - 2000
Y1 - 2000
N2 - 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.
AB - 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.
KW - Avoidable deaths
KW - Health sentinel events
KW - Motor vehicle accidents
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U2 - 10.1023/A:1007687120935
DO - 10.1023/A:1007687120935
M3 - Article
VL - 16
SP - 67
EP - 74
JO - European Journal of Epidemiology
JF - European Journal of Epidemiology
SN - 0393-2990
IS - 1
ER -