Literature DB >> 16021393

[Interdisciplinary emergency room management of trauma patients from the standpoint of coworkers].

T Gross1, F Amsler, W Ummenhofer, M Zuercher, P Regazzoni, A L Jacob, R W Huegli, P Messmer.   

Abstract

INTRODUCTION: The purpose of this study was to examine whether staff questionnaire evaluation is useful for quality control in the emergency room (ER) setting.
METHODS: Consecutive anonymous questionnaires (Likert scale 1-5) were filled out by the involved medical staff in all ER trauma cases in a university hospital from July 2002 to December 2003 (analysis of variance, P<0.05).
RESULTS: In 171 ER cases, 844 staff members responded. Main criticisms concerned time management or satisfaction with personal ER training (Likert <4). Consultants rated the quality of their training significantly higher than younger doctors, two thirds of consultants vs one third of residents having passed an Advanced Trauma and Life Support course (P<0.001). Depending on responders' professional specialties and whether the situation concerned multiple trauma (Injury Severity Score >15), a significant systematic difference resulted.
CONCLUSION: Our standardized staff questionnaire evaluation was revealed to be a discriminative instrument for quality management of trauma cases in the ER. To confirm these findings, correlation with clinical outcome data and further validation of the method are needed.

Entities:  

Mesh:

Year:  2005        PMID: 16021393     DOI: 10.1007/s00104-005-1068-0

Source DB:  PubMed          Journal:  Chirurg        ISSN: 0009-4722            Impact factor:   0.955


  21 in total

1.  Error, stress, and teamwork in medicine and aviation: cross sectional surveys.

Authors:  J B Sexton; E J Thomas; R L Helmreich
Journal:  BMJ       Date:  2000-03-18

2.  [The Trauma Registry of the German Society of Trauma Surgery as a basis for interclinical quality management. A multicenter study of the German Society of Trauma Surgery].

Authors:  S Ruchholtz
Journal:  Unfallchirurg       Date:  2000-01       Impact factor: 1.000

3.  [Interdisciplinary quality management in the treatment of severely injured patients. Validation of a QM system for the diagnostic and therapeutic process in early clinical management].

Authors:  S Ruchholtz; C Waydhas; M Aufmkolk; G Täger; K Piepenbrink; D Stolke; D Nast-Kolb
Journal:  Unfallchirurg       Date:  2001-10       Impact factor: 1.000

4.  Improved trauma management with advanced trauma life support (ATLS) training.

Authors:  M J Williams; A S Lockey; M C Culshaw
Journal:  J Accid Emerg Med       Date:  1997-03

5.  [5 years ATLS (Advanced Trauma Life Support) courses in Switzerland].

Authors:  D Scharplatz; P M Sutter
Journal:  Swiss Surg       Date:  2003

6.  Organizing an efficient trauma team.

Authors:  P A Driscoll; C A Vincent
Journal:  Injury       Date:  1992       Impact factor: 2.586

7.  [Quality management of severely injured patients].

Authors:  B Bouillon; E Neugebauer
Journal:  Z Arztl Fortbild Qualitatssich       Date:  2001-07

8.  The importance of the command-physician in trauma resuscitation.

Authors:  W S Hoff; P M Reilly; M F Rotondo; J C DiGiacomo; C W Schwab
Journal:  J Trauma       Date:  1997-11

9.  A method to measure the value of formal training in trauma management: comparison between ATLS and induction courses.

Authors:  V Gautam; J Heyworth
Journal:  Injury       Date:  1995-05       Impact factor: 2.586

Review 10.  [Personnel and structural requirements for the shock trauma room management of multiple trauma. A systematic review of the literature].

Authors:  C A Kühne; S Ruchholtz; S Sauerland; C Waydhas; D Nast-Kolb
Journal:  Unfallchirurg       Date:  2004-10       Impact factor: 1.000

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  7 in total

Review 1.  [Organizational forms of emergency medicine from the perspective of DIVI. Discipline-specific or interdisciplinary?].

Authors:  M Quintel; B Kumle
Journal:  Chirurg       Date:  2011-04       Impact factor: 0.955

2.  [Personnel planning in the emergency department. Optimized patient care round the clock].

Authors:  A Gries; A Michel; M Bernhard; J Martin
Journal:  Anaesthesist       Date:  2011-01       Impact factor: 1.041

3.  [Advanced trauma life-support for trauma management. A concept for Europe or not?].

Authors:  A Gries
Journal:  Anaesthesist       Date:  2007-11       Impact factor: 1.041

4.  [Position paper for a reform of medical emergency care in German emergency departments].

Authors:  R Riessen; A Gries; A Seekamp; C Dodt; B Kumle; H-J Busch
Journal:  Med Klin Intensivmed Notfmed       Date:  2015-06       Impact factor: 0.840

Review 5.  [Interdisciplinary emergency room - key to success?].

Authors:  M Kirsch; P Zahn; D Happel; A Gries
Journal:  Med Klin Intensivmed Notfmed       Date:  2014-08-08       Impact factor: 0.840

Review 6.  [Better apprehension of errors in the early clinical treatment of the severely injured].

Authors:  H Trentzsch; S Imach; T Kohlmann; B Urban; L Lazarovici; S Prückner
Journal:  Unfallchirurg       Date:  2015-08       Impact factor: 1.000

Review 7.  Challenges of surgical trauma emergency admission.

Authors:  Michael Frink; Philipp Mommsen; Hagen Andruszkow; Christian Zeckey; Christian Krettek; Frank Hildebrand
Journal:  Langenbecks Arch Surg       Date:  2011-03-08       Impact factor: 3.445

  7 in total

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