Archive for December, 2011

Trauma Outcomes Not Guaranteed with Quality Checklist Procedures

Tuesday, December 20th, 2011

Reporting in the Archives of Surgery, Dr. Laurent Glance of the U of Rochester Medical Center, and colleagues noted that while some trauma care quality indicators are associated with how well trauma patients do, others are not. There are 16 quality indicators, issued by the American College of Surgeons Committee on Trauma, that include everything from interventions such as CT scans for patients with Glascow Coma scores less than 13, to completing proper documentation.

In a critique of the report, Dr. Charles Mabry of the University of Arkansas for Medical Sciences, said that the COT’s process measures are useful to determine why some hospitals do better in their treatment of trauma patients, but that they do not measure outcomes very well.

Some of Glance’s findings related to data on 210,942 trauma patients in Pennsylvania trauma centers include:
•8% of patients admitted with a gunshot wound to the abdomen were managed nonoperatively and had nearly a five-fold increase in the risk of death.
•20% of those with an admission coma score of less than 13 did not get a head CT scan, an omission that was associated with an adjusted odds ratio (AOR) for death of 4.39.
•19% of patients needed a laparotomy but did not have it within two hours. The delay was associated with a lower mortality risk.
•Measures of incomplete or incorrect documentation were not associated with increased risks.

Click here for a more detailed discussion of the report.

CDC Injury Center Issues Driving Tips for the Holidays

Thursday, December 15th, 2011

Click here to get some driving safety tips from the Center for Disease Control and Prevention.

Army Times Publicizes WVSM

Tuesday, December 6th, 2011

In its December 5, 2011 edition, the Army Times included a story about the Wireless Vital Signs Monitor (WVSM), a lightweight and portable device that monitors trauma patients and predicts the need for life-saving intervention. NTI oversaw development and managed the funding for the WVSM, which is undergoing clinical trials at Memorial Hermann Hospital in Houston. The publication reports that the WVSM could be available to medics in the field in as soon as 18 months.

For more information on the Wireless Vital Signs Monitor, read NTI’s press release from earlier this year.