TQIP mortality reporting system case reports: Unanticipated mortality due to failures in clinical performance

Regan F. Williams, Kimberly A. Davis, Aaron R. Jensen, Frederic J. Cole, Kimberly A. Davis, Richard Dutton, Doulia M. Hamad, Jonathan I. Groner, David G. Jacobs, Samuel P. Mandell, Avery Nathens, Bhavin Patel, Samuel W. Ross, John W. Scott, Regan F. Williams

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

The Trauma Quality Improvement Program Mortality Reporting System is an online anonymous case reporting system designed to share experiences from rare events that may have contributed to unanticipated mortality at contributing trauma centers. The Trauma Quality Improvement Program Mortality Reporting System Working group monitors submitted cases and organizes them into emblematic themes. This report summarizes unanticipated mortality from two cases of failure of clinical performance and presents strategies to mitigate these events locally with the hope of decreasing unanticipated mortality nationwide.

Original languageEnglish (US)
Pages (from-to)747-749
Number of pages3
JournalJournal of Trauma and Acute Care Surgery
Volume94
Issue number5
DOIs
StatePublished - May 1 2023

Keywords

  • Quality improvement
  • cause of death
  • medical errors/prevention and control
  • trauma centers
  • wounds and injuries

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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