Preparation and achievement of American College of Surgeons level I trauma verification raises hospital performance and improves patient outcome.

摘要: Objective: The purpose of this study was to assess the impact on patient outcome and hospital performance preparing for achieving American College Surgeons (ACS) Level I trauma verification. Methods: center a previously designated state regional located adjacent major metropolitan area. Preparation ACS verification began in early 1996 completed 1998. Final took place April 1999. Data were analyzed before (1994) after (1998) process. There marked increase administrative support with named one hospital's six centers excellence. Two full-time board-certified trauma/critical care surgeons added current surgeons. Their focus care. Trauma staff also increased case managers, nurse practitioner, additional registrars, staff. Education continuous quality improvement markedly expanded starting 1996. Results: 1,098 patients admitted 1994, 1,658 Overall mortality decreased (1994, 7.38%; 1998, 5.37%; p 30) 44% [38 86]; 27% [22 80]; < 0.04). Average length stay 12.22 days; 9.87 0.02). This yielded an estimated cost savings 1998 greater than $4,000 per (total saving estimate $7.4 million). Conclusion: system as related appeared have positive survival realized that helped alleviate expense improvement. process is worthwhile can be effective.