TQIP mortality reporting system case reports: Unanticipated mortality due to inadequate preoperative ICU "clearance"

Samuel W. Ross, David G. Jacobs, 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 a case of inadequate clearance by the intensive care unit service before surgical intervention in an injured patient and presents strategies to mitigate these events locally with the hope of decreasing unanticipated mortality nationwide.

Original languageEnglish (US)
Pages (from-to)743-746
Number of pages4
JournalJournal of Trauma and Acute Care Surgery
Volume94
Issue number5
DOIs
StatePublished - May 1 2023
Externally publishedYes

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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