Preventable Trauma Death in Tehran: An Estimate of Trauma Care Quality in Teaching Hospitals.
Zafarghandi, Mohammad-Reza MD; Modaghegh, Mohammad-Hadi Saeed MD; Roudsari, Bahman Sayyar MD
Journal of Trauma-Injury Infection & Critical Care.
55(3):459-465, September 2003.
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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.
(C) 2003 Lippincott Williams & Wilkins, Inc.