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Published on: August 5, 2020
Trauma Quality Improvement Program mortality reporting system case reports: Anticipated mortality with opportunity
Julie Y Valenzuela1, Kimberly A Davis, Aaron R Jensen
1From the Division of Trauma, Burns, and Surgical Critical Care (J.Y.V.), University of Miami Miller School of Medicine, Miami, Florida; Division of General Surgery, Trauma and Surgical Critical Care (K.A.D.), Yale School of Medicine, New Haven, Connecticut; and Department of Surgery (A.R.J.), UCSF Benioff Children's Hospitals, University of California San Francisco, Oakland, California.
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 two cases of anticipated mortality that both had opportunity for improvement related to more timely provision of palliative care cases. We present strategies to mitigate these delays locally.
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