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Reducing missed injuries at a level II trauma center.
Howard, Janet; Sundararajan, Rajalakshmy; Thomas, Scott G; Walsh, Mark; Sundararajan, Miel.
Afiliação
  • Howard J; Memorial Leighton Trauma Center, 615 North Michigan Street, South Bend, IN 46601, USA. jhoward@memorialsb.org
J Trauma Nurs ; 13(3): 89-95, 2006.
Article em En | MEDLINE | ID: mdl-17052086
The phenomenon of missed injury in trauma patients has been recognized for some time. Tertiary examination has been proposed as one strategy to decrease the incidence of missed injuries. The tertiary examination is a comprehensive reevaluation that includes a repeated head-to-toe examination and review of all laboratory and radiologic studies, completed within 24 hours of admission. The purpose of this study was to assess the statistical significance of missed injuries discovered through tertiary examinations at a level II trauma center. Over a period of 6 months, a tertiary examination was completed before discharge of admitted patients who met activation criteria. Of the 90 patients, 13 had a missed injury (incidence of 14%), which was significant. The 16 missed injuries represented only 2.7% of the total 589 injuries, which was not significant. The most commonly missed injuries were fractures of the extremities. We propose that tertiary examinations be adopted as a standard of care for patients admitted to level II trauma centers.
Assuntos
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Base de dados: MEDLINE Assunto principal: Exame Físico / Traumatologia / Traumatismo Múltiplo / Erros de Diagnóstico Idioma: En Ano de publicação: 2006 Tipo de documento: Article
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Base de dados: MEDLINE Assunto principal: Exame Físico / Traumatologia / Traumatismo Múltiplo / Erros de Diagnóstico Idioma: En Ano de publicação: 2006 Tipo de documento: Article