نتایج جستجو برای: trauma centers
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BACKGROUND This study analyzes trends in hospitalization and outcome for adult, elderly, and pediatric trauma victims in the Florida Trauma System (FTS) from 1991 to 2003, during which time the number of centers nearly doubled from 11 to 20. METHODS Administrative data was queried for all admissions with at least one trauma related discharge. Patients were stratified by age as pediatric (age,...
Comparing regression-adjusted mortality to standardized mortality ratios for trauma center profiling
BACKGROUND Trauma center profiling is commonly performed with Standardized Mortality Ratios (SMRs). However, comparison of SMRs across trauma centers with different case mix can induce confounding leading to biased trauma center ranks. We hypothesized that Regression-Adjusted Mortality (RAM) estimates would provide a more valid measure of trauma center performance than SMRs. OBJECTIVE Compare...
This article analyzes the effectiveness of designated trauma centers in Florida concerning reduction in the mortality risk of severely injured trauma victims. A bivariate probit model is used to compute the differential impact of two alternative acute care treatment sites. The alternative sites are defined as (1) a nontrauma center (NC) or (2) a designated trauma center (DTC). An instrumental-v...
THE SYSTEMS APPROACH TO THE delivery of trauma care is widely accepted as an effective strategy for reducing death due to injury. A critical component of this systems approach is the designation or verification of trauma center hospitals equipped to treat more severely injured patients. Although the overall number of trauma centers has increased over the last decade, recent studies have shown t...
INTRODUCTION The most effective use of trauma center resources helps reduce morbidity and mortality, while saving costs. Identifying critical infrastructure characteristics, patient characteristics and staffing components of a trauma center associated with the proportion of patients needing major trauma care will help planners create better systems for patient care. METHODS We used the 2009 N...
BACKGROUND Concern has been raised about the capacity of trauma centers to absorb large numbers of additional patients from mass casualty events. Our objective was to examine the capacity of current centers to handle an increased load from a mass casualty disaster. METHODS This was a cross-sectional study of Level I and II trauma centers. They were contacted by mail and asked to respond to qu...
Organizational structures of healthcare organizations has increasingly become a focus of medical research. In the CAFÉ project we aim to provide a web-service enabling ontology-driven comparison of the organizational characteristics of trauma centers and trauma systems. Trauma remains one of the biggest challenges to healthcare systems worldwide. Research has demonstrated that coordinated effor...
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