Analysis of American College of Surgeons Trauma Consultation Program

摘要: Objective: To identify the criteria deficiencies found during peer consultation of hospitals and relationship to subsequent verification. Methods: Between September 1987 December 1992, 52 had visits using American College Surgeons criteria. Each report was studied for deficiencies, frequency Results: There are 108 Thirty-five different were found. The number per hospital ranged from zero 12. more frequent included a lack following: quality improvement, 35 (67%); trauma service, 20 (38%); surgeon in emergency department, 24-hour operating room availability, 17 (33%); registry, 17(33%): continuing medical education, 16 (31%); director, 15 (29%); computed tomography technician hospital, research, 14 (27%); coordinator, neurosurgeon 13 (25%). No that lacked commitment surgeons (n=12) or (n=3) requested verification visit. Twenty-four (46%) achieved by February 1994. Twenty-eight six fewer with 19 (68%) verified. seven only five (21%) subsequently Verification followed 3 months. Two nine verified after 30 48 months, although one failed its first Conclusions: assists their center capability appears improve ability pass Most correctable. Lack is difficult correct. an inverse between (Arch Surg. 1995;130:578-584)