The Impact of the Tertiary Survey in an Established Trauma Program.
Adolescent
Adult
Aged
Aged, 80 and over
Delayed Diagnosis
/ prevention & control
Female
Health Surveys
Humans
Male
Medical History Taking
Middle Aged
Missed Diagnosis
/ prevention & control
Physical Examination
Qualitative Research
Quality Improvement
Radiography
Registries
Retrospective Studies
Time Factors
Trauma Centers
/ standards
Wounds and Injuries
/ diagnosis
Young Adult
missed injury
tertiary survey
trauma quality improvement
Journal
The American surgeon
ISSN: 1555-9823
Titre abrégé: Am Surg
Pays: United States
ID NLM: 0370522
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
pubmed:
8
10
2020
medline:
16
4
2021
entrez:
7
10
2020
Statut:
ppublish
Résumé
The trauma tertiary survey (TTS) was first described in 1990 and is recognized as an essential practice in trauma care. The TTS remains effective in detecting secondary injuries in the modern era. Trauma patients discharged between August 1, 2016, and December 31, 2016, were identified in our trauma registry. Collected data include TTS completion rates, detection of injuries, type of provider, and timing. TTS documentation was qualitatively evaluated. Out of 407 patients, 264 patients (65%) received a TTS. Injury detection rate was 1.1.%. Average time to TTS was 41 hours. TTS were completed by resident physicians (46%) and advanced practice providers (APPs; 46%). TTS documentation was more complete for APPs than for resident physicians. TTS remains an integral component of modern trauma care. Ongoing education on the significance of TTS and the importance of thorough documentation is essential. Provision of real-time feedback to providers is also critical for improving current practices.
Identifiants
pubmed: 33026239
doi: 10.1177/0003134820951449
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM