Abstract
Objective The purpose of this study was estimate the number of preventable trauma deaths in teaching hospitals in Tehran. Methods We evaluated the complete prehospital, hospital, and postmortem data of 70 trauma patients who had died during a 1-year period in two of the largest university hospitals in Tehran with a multidisciplinary panel of experts. Results Panel members identified 26% of all trauma deaths as preventable deaths. From 31 non-central nervous system-related deaths, 17 and 6 cases were identified as surely preventable and probably preventable, respectively. In central nervous system-related deaths, 5% of the deaths overall (2 of 38 cases) were identified as surely preventable or probably preventable. Sixty-four cases of medical errors were identified in 31 trauma deaths and 80% of these errors were directly related to the death of the patients. Conclusion The high preventable trauma death rate in our teaching hospitals indicates that a relatively significant percentage of trauma fatalities could have been prevented by improving prehospital and in-hospital trauma care.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 459-465 |
| Number of pages | 7 |
| Journal | Journal of Trauma |
| Volume | 55 |
| Issue number | 3 |
| DOIs | |
| State | Published - Jan 1 2003 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Surgery
- Critical Care and Intensive Care Medicine
Cite this
Preventable trauma death in tehran : An estimate of trauma care quality in teaching hospitals. / Zafarghandi, Mohammad Reza; Modaghegh, Mohammad Hadi Saeed; Sayyar Roudsari, Bahman.
In: Journal of Trauma, Vol. 55, No. 3, 01.01.2003, p. 459-465.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Preventable trauma death in tehran
T2 - An estimate of trauma care quality in teaching hospitals
AU - Zafarghandi, Mohammad Reza
AU - Modaghegh, Mohammad Hadi Saeed
AU - Sayyar Roudsari, Bahman
PY - 2003/1/1
Y1 - 2003/1/1
N2 - Objective The purpose of this study was estimate the number of preventable trauma deaths in teaching hospitals in Tehran. Methods We evaluated the complete prehospital, hospital, and postmortem data of 70 trauma patients who had died during a 1-year period in two of the largest university hospitals in Tehran with a multidisciplinary panel of experts. Results Panel members identified 26% of all trauma deaths as preventable deaths. From 31 non-central nervous system-related deaths, 17 and 6 cases were identified as surely preventable and probably preventable, respectively. In central nervous system-related deaths, 5% of the deaths overall (2 of 38 cases) were identified as surely preventable or probably preventable. Sixty-four cases of medical errors were identified in 31 trauma deaths and 80% of these errors were directly related to the death of the patients. Conclusion The high preventable trauma death rate in our teaching hospitals indicates that a relatively significant percentage of trauma fatalities could have been prevented by improving prehospital and in-hospital trauma care.
AB - Objective The purpose of this study was estimate the number of preventable trauma deaths in teaching hospitals in Tehran. Methods We evaluated the complete prehospital, hospital, and postmortem data of 70 trauma patients who had died during a 1-year period in two of the largest university hospitals in Tehran with a multidisciplinary panel of experts. Results Panel members identified 26% of all trauma deaths as preventable deaths. From 31 non-central nervous system-related deaths, 17 and 6 cases were identified as surely preventable and probably preventable, respectively. In central nervous system-related deaths, 5% of the deaths overall (2 of 38 cases) were identified as surely preventable or probably preventable. Sixty-four cases of medical errors were identified in 31 trauma deaths and 80% of these errors were directly related to the death of the patients. Conclusion The high preventable trauma death rate in our teaching hospitals indicates that a relatively significant percentage of trauma fatalities could have been prevented by improving prehospital and in-hospital trauma care.
UR - http://www.scopus.com/inward/record.url?scp=0141745955&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0141745955&partnerID=8YFLogxK
U2 - 10.1097/01.TA.0000027132.39340.FE
DO - 10.1097/01.TA.0000027132.39340.FE
M3 - Article
C2 - 14501887
AN - SCOPUS:0141745955
VL - 55
SP - 459
EP - 465
JO - Journal of Trauma and Acute Care Surgery
JF - Journal of Trauma and Acute Care Surgery
SN - 2163-0755
IS - 3
ER -