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Deaths following trauma: an audit of performance.创伤后的死亡情况:绩效审计
Ann R Coll Surg Engl. 1991 Jan;73(1):53-7.
2
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Survival prediction algorithms miss significant opportunities for improvement if used for case selection in trauma quality improvement programs.如果将生存预测算法用于创伤质量改进项目的病例选择,那么它将错失显著的改进机会。
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引用本文的文献

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3
The hit and miss of ISS and TRISS. Yorkshire Trauma Audit Group.损伤严重度评分(ISS)与创伤和损伤严重度评分(TRISS)的准确性。约克郡创伤审计小组。
BMJ. 1993 Oct 9;307(6909):906-9. doi: 10.1136/bmj.307.6909.906.
4
Accident and emergency medicine--I.急症医学——I
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本文引用的文献

1
Trauma audit--the use of TRISS.创伤审计——创伤和损伤严重度评分(TRISS)的应用
Health Trends. 1988 Aug;20(3):94-7.
2
Impact of regionalization. The Orange County experience.区域化的影响。奥兰治县的经验。
Arch Surg. 1983 Jun;118(6):740-4. doi: 10.1001/archsurg.1983.01390060058013.
3
Care of emergencies in the United Kingdom.英国的紧急情况护理。
Br Med J (Clin Res Ed). 1981 Sep 26;283(6295):847-9. doi: 10.1136/bmj.283.6295.847.
4
The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care.损伤严重度评分:一种描述多发伤患者及评估急诊治疗的方法。
J Trauma. 1974 Mar;14(3):187-96.
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Assessment of coma and impaired consciousness. A practical scale.昏迷与意识障碍评估。实用量表。
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6
Regional trauma system design: critical concepts.区域创伤系统设计:关键概念
Am J Surg. 1987 Jul;154(1):79-87. doi: 10.1016/0002-9610(87)90294-7.
7
Retrospective study of 1000 deaths from injury in England and Wales.对英格兰和威尔士1000例因伤死亡病例的回顾性研究。
Br Med J (Clin Res Ed). 1988 May 7;296(6632):1305-8. doi: 10.1136/bmj.296.6632.1305.
8
Evaluating trauma care: the TRISS method. Trauma Score and the Injury Severity Score.评估创伤护理:TRISS 方法。创伤评分与损伤严重程度评分。
J Trauma. 1987 Apr;27(4):370-8.
9
Evaluations of hospital and/or trauma care systems.医院和/或创伤护理系统评估
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10
Mortality of patients with head injury and extracranial injury treated in trauma centers.
J Trauma. 1989 Sep;29(9):1193-201; discussion 1201-2. doi: 10.1097/00005373-198909000-00002.

创伤后的死亡情况:绩效审计

Deaths following trauma: an audit of performance.

作者信息

Phair I C, Barton D J, Barnes M R, Allen M J

机构信息

Accident and Emergency Department, Leicester Royal Infirmary.

出版信息

Ann R Coll Surg Engl. 1991 Jan;73(1):53-7.

PMID:1996865
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2499332/
Abstract

The TRISS methodology was applied to identify preventable trauma deaths in a retrospective audit of 267 (M = 0.908) patients admitted to a teaching hospital through the resuscitation room of its accident and emergency department during a 1-year period. No unexpected survivors were identified; of the 44 deaths (Z = 5.35), 25 (56.8%) were judged preventable by the TRISS method. Those deaths deemed preventable were subjected to peer review by a panel of six consultants. The findings are discussed in respect of recommendations made for UK trauma centre provision by the Working Party Report of the Royal College of Surgeons of England on the management of patients with major injuries.

摘要

采用创伤和损伤严重度评分(TRISS)方法,对一家教学医院急诊科复苏室在1年期间收治的267例患者(男性占比0.908)进行回顾性审计,以确定可预防的创伤死亡病例。未发现意外存活者;在44例死亡病例中(Z = 5.35),根据TRISS方法判断25例(56.8%)死亡可预防。这些被判定为可预防的死亡病例由一个由六名顾问组成的小组进行同行评审。根据英国皇家外科医学院工作组报告就重伤患者管理对英国创伤中心设置提出的建议,对研究结果进行了讨论。