Trauma care in italy: Evidence of in-hospital preventable deaths

Nino Stocchetti, Giovanni Pagliarini, Maurizio Gennari, Giorgio Baldi, Ennio Banchini, Michele Campari, Marisa Bacchi, Paolo Zuccoli

Research output: Contribution to journalArticle

Abstract

The quality of a trauma system can be assessed by the rate of preventable deaths. A random selected sample of 110 trauma patients was examined using both clinical and autopsy data. The assessors were asked the following question: If this patient had sustained the accident in front of the hospital in a normal working day, might death have been prevented? Death was found to be unavoidable in 61 cases; in 25 cases death was classified potentially preventable; 11 cases were classified as clearly preventable death. The main failures of treatment were identified as errors and delays during the first phases of in-hospital assessment and care. An improvement in the pre-hospital phase will be almost useless if the quality of the definitive in-hospital management is not addressed.

Original languageEnglish
Pages (from-to)401-405
Number of pages5
JournalThe Journal of trauma
Volume36
Issue number3
Publication statusPublished - 1994

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Surgery

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    Stocchetti, N., Pagliarini, G., Gennari, M., Baldi, G., Banchini, E., Campari, M., Bacchi, M., & Zuccoli, P. (1994). Trauma care in italy: Evidence of in-hospital preventable deaths. The Journal of trauma, 36(3), 401-405.