Results of a multi-institutional outcome assessment: results of a structured peer review of TRISS-designated unexpected outcomes.

摘要: The utility of TRISS as a component trauma center quality assurance (QA) was evaluated. survival probabilities were estimated for total 2,023 consecutive patients admitted to three level-I centers during 6-month period. A structured peer review performed the 50 (2.1%) having statistically unexpected outcomes. For 23 (18 survivors, five deaths) TRISS-designated outcomes sustained in review. In 27 cases (one survivor, 26 not by and TRISS. Limitations identified each case. Peer provided consistent objective QA methodology. An understanding an process is essential blending it with what is, at present, largely subjective many hospitals. Use standardizes process, resulting more reliable base development improvement programs.