Secondary Overtriage: A Consequence of an Immature Trauma System

Journal of the American College of Surgeons

Volumn 206, Issue 1, 2008, Pages 131-137

  Ciesla, David J ^a   Sava, Jack A ^a   Street III, James H ^a   Jordan, Marion H ^a  

^a WASHINGTON HOSPITAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CLINICAL OBSERVATION; COMMUNITY HOSPITAL; COST; EMERGENCY WARD; GLASGOW COMA SCALE; HEALTH CARE ACCESS; HEALTH CARE FACILITY; HOSPITAL DEPARTMENT; HOSPITAL DISCHARGE; HUMAN; INJURY SEVERITY; MAJOR CLINICAL STUDY; PATIENT TRANSPORT; PRACTICE GUIDELINE; PRIORITY JOURNAL; REIMBURSEMENT; RETROSPECTIVE STUDY; SCORING SYSTEM; SECONDARY OVERTRIAGE; TRAUMATOLOGY;

ADULT; FEMALE; FOLLOW-UP STUDIES; HUMANS; INJURY SEVERITY SCORE; MALE; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); RETROSPECTIVE STUDIES; TRAUMA CENTERS; TRIAGE; UNITED STATES; WOUNDS AND INJURIES;

EID: 37249032425     PISSN: 10727515     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jamcollsurg.2007.06.285     Document Type: Article

References (16)

1. Utter G.H., Maier R.V., Rivara F.P., et al. Inclusive trauma systems: do they improve triage or outcomes of the severely injured?. J Trauma 60 (2006) 529-535 discussion 535-537
2. Celso B., Tepas J., Langland-Orban B., et al. A systematic review and meta-analysis comparing outcome of severely injured patients treated in trauma centers following the establishment of trauma systems. J Trauma 60 (2006) 371-378 discussion 378
3. MacKenzie E.J., Rivara F.P., Jurkovich G.J., et al. A national evaluation of the effect of trauma-center care on mortality. N Engl J Med 354 (2006) 366-378
4. US Department of Health and Human Services. A 2002 national assessment of state trauma system development, emergency medical services resources, and disaster readiness for mass casualty events. http://www.hrsa.gov/trauma/survey/default.htm 2002 Accessed November 1, 2006
5. Branas C.C., MacKenzie E.J., Williams J.C., et al. Access to trauma centers in the United States. JAMA 293 (2005) 2626-2633
6. American College of Surgeons Committee on Trauma. Resources for optimal care of the trauma patient (2006), American College of Surgeons, Chicago, IL
7. Nathens A.B., Maier R.V., Copass M.K., and Jurkovich G.J. Payer status: the unspoken triage criterion. J Trauma 50 (2001) 776-783
8. Koval K.J., Tingey C.W., and Spratt K.F. Are patients being transferred to level-I trauma centers for reasons other than medical necessity?. J Bone Joint Surg Am 88 (2006) 2124-2132
9. Esposito T.J., Crandall M., Reed R.L., et al. Socioeconomic factors, medicolegal issues, and trauma patient transfer trends: is there a connection?. J Trauma 61 (2006) 1380-1386 discussion 1386-1388
10. Spain D.A., Bellino M., Kopelman A., et al. Requests for 692 transfers to an academic level I trauma center: implications of the emergency medical treatment and active labor act. J Trauma 62 (2007) 63-67 discussion 67-68
11. Southard P. 2003 "clarification" of controversial EMTALA requirement for 24/7 coverage of emergency departments by on-call specialists, significant impact on trauma centers. J Emerg Nurs 30 (2004) 582-583
12. Hospital based emergency care at the breaking point. http://books.nap.edu/execsumm_pdf/11621 Accessed February 22, 2007
13. Newgard C.D., McConnell K.J., and Hedges J.R. Variability of trauma transfer practices among non-tertiary care hospital emergency departments. Acad Emerg Med 13 (2006) 746-754
14. Rodriguez J.L., Christmas A.B., Franklin G.A., et al. Trauma/critical care surgeon: a specialist gasping for air. J Trauma 59 (2005) 1-5 discussion 5-7
15. Harrington D.T., Connolly M., Biffl W.L., et al. Transfer times to definitive care facilities are too long: a consequence of an immature trauma system. Ann Surg 241 (2005) 961-966 discussion 966-968
16. Bazzoli G.J., Madura K.J., Cooper G.F., et al. Progress in the development of trauma systems in the United States. Results of a national survey. JAMA 273 (1995) 395-401