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- N Stocchetti, G Pagliarini, M Gennari, G Baldi, E Banchini, M Campari, M Bacchi, and P Zuccoli.
- Department of Anesthesia and Intensive Care, Hospital of Parma-USL, Italy.
- J Trauma. 1994 Mar 1; 36 (3): 401-5.
AbstractThe 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.
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