7/25/2023 0 Comments Level 1 trauma center![]() ![]() Comparing the quality of care of an American trauma center and a Spanish referral center, we have detected remarkably similar avoidable errors. The use of a common language of errors among centers is key in establishing benchmarking standards. In contrast, at the SRC center the most common errors were ‘rule-based’ (58%) ( P<.001). At the USC, the most frequent human cause was ‘knowledge-based’ (44%). In both centers, the main cause of error was human. The SRC had a 41% of diagnosis errors vs just 18% in the USC ( P=.001). In the USC, 73% of errors were therapeutic as compared to 59% in the SRC ( P =.06). Errors occurred mostly in the emergency department and were caused by physicians. The rate of preventable and potentially preventable mortality was 7.7% and 13.8% in the USC and SRC respectively.Īccording to the JC taxonomy, the main error type was clinical in both centers, due to errors in intervention (treatment). All errors identified were then classified using the JC taxonomy. We cross-referenced these deaths and extracted all deaths that were classified as potentially preventable or preventable. MethodsĬomparative study that evaluated trauma patients older than 16 years old who died during their hospitalization. The aim is comparing the quality of care at a typical American trauma center (USC) vs an equivalent European referral center in Spain (SRC), through the analysis of preventable and potentially preventable deaths. ![]()
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