High duality acute care for the severely injured is not consistently available in England, Wales and Northern Ireland: Report of a survey by the Trauma committee, The Royal College of Surgeons of England

被引:10
作者
Browne, J.
Coats, T. J.
Lloyd, D. A.
Oakley, P. A.
Pigott, T.
Willetts, K. J.
Yates, D. W.
机构
[1] Royal Coll Surgeons England, Clin Effect Unit, London WC2A 3PN, England
[2] Leicester Royal Infirm, Dept Accid & Emergency, Leicester, Leics, England
[3] Alder Hey Childrens Hosp, Dept Paediat Surg, Liverpool L12 2AP, Merseyside, England
[4] Univ Hosp N Staffordshire, Dept Anaesthesia, Stoke On Trent, Staffs, England
[5] Walton Ctr Neurol & Neurosurg, Liverpool, Merseyside, England
[6] John Radcliffe Hosp, Dept Trauma & Orthopaed Surg, Oxford OX3 9DU, England
[7] Hope Hosp, Trauma Audit & Res Network, Salford M6 8HD, Lancs, England
关键词
trauma; severe injury; acute care; survey;
D O I
10.1308/003588406X94850
中图分类号
R61 [外科手术学];
学科分类号
摘要
INTRODUCTION A survey was undertaken to determine the extent to which acute hospitals in England, Wales and Northern Ireland were meeting the acute trauma management standards published in 2000 by The Royal College of Surgeons of England and the British Orthopaedic Association. METHODS A questionnaire comprising 72 questions in 16 categories of management was distributed in July 2003 to all eligible hospitals via the link network of the British Orthopaedic Association. Data were collected over a 3-month period. RESULTS Of 213 eligible hospitals, 161 (76%) responded. In every category of acute care, failure to meet the standards was reported. Only 34 (21%) hospitals met all the 13 indicative standards that were considered pivotal to good trauma care, but all hospitals met at least 7 of these standards. Failures were usually in the organisation of services rather than a lack of resources, with the exception of the inadequate capacity for admission to specialist neurosurgery units. A minority of hospitals reported an inability to provide emergency airway control or insertion of chest tube. The data have not been verified and deficiencies in reporting cannot be excluded. CONCLUSIONS The findings of this survey suggest that high quality care for the severely injured is not available consistently across England, Wales and Northern Ireland, and appear to justify concerns about the ability of the NHS to deal effectively with the current trauma workload and the consequences of a major incident.
引用
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页码:103 / 107
页数:5
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