Reduction of time to definitive care in trauma patients: effectiveness of a new checklist system.

Détails

ID Serval
serval:BIB_27695
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Reduction of time to definitive care in trauma patients: effectiveness of a new checklist system.
Périodique
Injury
Auteur⸱e⸱s
Schoettker P., D'Amours S.K., Nocera N., Caldwell E., Sugrue M.
ISSN
0020-1383 (Print)
ISSN-L
0020-1383
Statut éditorial
Publié
Date de publication
2003
Volume
34
Numéro
3
Pages
187-190
Langue
anglais
Notes
Publication types: Comparative Study ; Evaluation Studies ; Journal Article
Publication Status: ppublish
Résumé
This study evaluated the feasibility of establishing a new trauma transfer checklist and assessed its impact on trauma-related interhospital transfers. A standard envelope with a printed checklist (N.E.W.S.) incorporating four key concepts in the care and transfer of trauma patients was used. A prospective comparison of consecutive interhospital trauma transfers to the major trauma service between July 1999-May 2000 (pre-N.E.W.S.) and August 2000-November 2000 (post-N.E.W.S.) was made. Changes in management satisfaction were assessed by a Likert scale (1=poor to 5=excellent). Pre-N.E.W.S., 88 trauma patients were transferred and 20 trauma transfers were recorded post-N.E.W.S. The time to definitive care pre-N.E.W.S. was 443+/-322 min, and 339+/-108 min (P=0.014) post-N.E.W.S. The time in the referring hospital was also reduced from 343+/-310 min pre-N.E.W.S. to 197+/-90 min post-N.E.W.S (P=0.0002). The checklist system prompted changes in the management of the trauma patient in 20% of the cases and there was a high level of satisfaction expressed by users of the checklist (4.6+/-0.7). The N.E.W.S. checklist is effective in facilitating the interhospital transfer of trauma patients by shortening the time to definitive care.
Mots-clé
Adult, Data Collection, Feasibility Studies, Humans, Medical Records, New South Wales, Patient Transfer/organization & administration, Prospective Studies, Time Factors, Transportation of Patients/organization & administration, Trauma Severity Indices
Pubmed
Web of science
Création de la notice
19/11/2007 13:24
Dernière modification de la notice
20/08/2019 14:06
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