ANALYSES OF PREVENTABLE TRAUMA DEATHS AT A RURAL HOSPITAL IN JAPAN

DOI
  • YOSHIMURA Yuya
    Department of Emergency and Critical Care Medicine, Hachinohe City Hospital
  • KONN Akihide
    Department of Emergency and Critical Care Medicine, Hachinohe City Hospital
  • NODAGASHIRA Tatsuya
    Department of Emergency and Critical Care Medicine, Hachinohe City Hospital

Bibliographic Information

Other Title
  • 地方病院における防ぎ得た外傷死（Preventable Trauma Death）の検討
  • －第三者を加えたpeer reviewによる外傷診療の質の評価と向上－

Search this article

Description

<p>　　Background : One of the major aims of improvements in trauma care is to reduce preventable trauma deaths, but few studies about this topic have been conducted in Japan. Objective : The objective of this study was to analyze the preventable trauma deaths that occurred at a rural hospital in Japan. Methods : This was a single-center study examining 147 trauma deaths that occurred between 2010 and 2014 at our hospital in Hachinohe (a rural city), Japan. Unexpected deaths, which were identified using the trauma and injury severity score (TRISS), were analyzed within 30 days via a mortality peer review. The review panels were comprised of trauma surgeons from other institutions and doctors from our department. Results : Seventeen (11%) deaths were identified as unexpected based on their TRISS, and 5 (3.4%) deaths were judged to have been preventable during the peer reviews. The overall preventable death rate was 3.4%. The preventable deaths were caused by delays in treatment and prehospital undertriage. The TRISS system was found to have a number of limitations related to injury severity, age, premorbid conditions, and complications. Conclusions : This study has identified errors that contributed to preventable trauma deaths at a rural hospital in Japan. The TRISS method has many limitations. Peer review is a more effective tool for evaluating and improving the quality of trauma care.</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top