Patient safety in trauma: maximal impact management errors at a level I trauma center.

@article{Ivatury2008PatientSI,
  title={Patient safety in trauma: maximal impact management errors at a level I trauma center.},
  author={Rao R. Ivatury and Kelly Guilford and Ajai Kumar Malhotra and Therese Marie Duane and Michel B. Aboutanos and Nancy R. Martin},
  journal={The Journal of trauma},
  year={2008},
  volume={64 2},
  pages={265-70; discussion 270-2}
}
BACKGROUND The Division of Research at JCAHO developed a taxonomy (common terminology and classification schema) to promote consistency in reporting and facilitate root cause analysis. We undertook a review of trauma management errors at our institution with maximal impact (death). The analysis was based on the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) taxonomy. METHODS Trauma deaths between 2001 and 2006 at our Level I trauma were peer-reviewed to identify errors… CONTINUE READING

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