Analysis of American College of Surgeons trauma consultation program

F. L. Mitchell, E. R. Thal, C. C. Wolferth, D. B. Hoyt, F. W. Blaisdell, R. Gillespie, J. Weigelt, H. Gaskill

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Objective: To identify the criteria deficiencies found during peer consultation of hospitals and the relationship to subsequent verification. Methods: Between September 1987 and December 1992, 52 hospitals had consultation visits using American College of Surgeons criteria. Each report was studied for deficiencies, frequency of deficiencies, and relationship to verification. Results: There are 108 American College of Surgeons criteria. Thirty-five different criteria deficiencies were found. The number of deficiencies per hospital ranged from zero to 12. The more frequent deficiencies included a lack of the following: quality improvement, 35 (67%); trauma service, 20 (38%); trauma surgeon in emergency department, 20 (38%); 24-hour operating room availability, 17 (33%); trauma registry, 17 (33%); trauma continuing medical education, 16 (31%); trauma director, 15 (29%); computed tomography technician in hospital, 15 (29%); research, 14 (27%); trauma coordinator, 14 (27%); and neurosurgeon availability, 13 (25%). No hospital that lacked commitment of surgeons (n=12) or hospital (n=3) requested a verification visit. Twenty-four hospitals (46%) achieved verification by February 1994. Twenty-eight hospitals had six or fewer deficiencies, with 19 (68%) verified. Twenty-four hospitals had seven or more deficiencies, with only five (21%) subsequently verified. Verification visits followed consultation by 3 to 52 months. Two hospitals with nine deficiencies were verified after 30 and 48 months, although one failed its first verification visit. Conclusions: American College of Surgeons consultation assists hospitals to identify their trauma center capability and appears to improve their ability to pass subsequent trauma center verification. Most criteria deficiencies are correctable. Lack of commitment by the surgeons or hospital is difficult to correct. There is an inverse relationship between the number of deficiencies and subsequent verification.

Original languageEnglish (US)
Pages (from-to)578-584
Number of pages7
JournalArchives of Surgery
Volume130
Issue number6
StatePublished - 1995

Fingerprint

Referral and Consultation
Wounds and Injuries
Trauma Centers
Continuing Medical Education
Operating Rooms
Quality Improvement
Registries
Hospital Emergency Service
Tomography
Research

ASJC Scopus subject areas

  • Surgery

Cite this

Mitchell, F. L., Thal, E. R., Wolferth, C. C., Hoyt, D. B., Blaisdell, F. W., Gillespie, R., ... Gaskill, H. (1995). Analysis of American College of Surgeons trauma consultation program. Archives of Surgery, 130(6), 578-584.

Analysis of American College of Surgeons trauma consultation program. / Mitchell, F. L.; Thal, E. R.; Wolferth, C. C.; Hoyt, D. B.; Blaisdell, F. W.; Gillespie, R.; Weigelt, J.; Gaskill, H.

In: Archives of Surgery, Vol. 130, No. 6, 1995, p. 578-584.

Research output: Contribution to journalArticle

Mitchell, FL, Thal, ER, Wolferth, CC, Hoyt, DB, Blaisdell, FW, Gillespie, R, Weigelt, J & Gaskill, H 1995, 'Analysis of American College of Surgeons trauma consultation program', Archives of Surgery, vol. 130, no. 6, pp. 578-584.
Mitchell FL, Thal ER, Wolferth CC, Hoyt DB, Blaisdell FW, Gillespie R et al. Analysis of American College of Surgeons trauma consultation program. Archives of Surgery. 1995;130(6):578-584.
Mitchell, F. L. ; Thal, E. R. ; Wolferth, C. C. ; Hoyt, D. B. ; Blaisdell, F. W. ; Gillespie, R. ; Weigelt, J. ; Gaskill, H. / Analysis of American College of Surgeons trauma consultation program. In: Archives of Surgery. 1995 ; Vol. 130, No. 6. pp. 578-584.
@article{cf2fc81fc5204358b74aeca489f4e076,
title = "Analysis of American College of Surgeons trauma consultation program",
abstract = "Objective: To identify the criteria deficiencies found during peer consultation of hospitals and the relationship to subsequent verification. Methods: Between September 1987 and December 1992, 52 hospitals had consultation visits using American College of Surgeons criteria. Each report was studied for deficiencies, frequency of deficiencies, and relationship to verification. Results: There are 108 American College of Surgeons criteria. Thirty-five different criteria deficiencies were found. The number of deficiencies per hospital ranged from zero to 12. The more frequent deficiencies included a lack of the following: quality improvement, 35 (67{\%}); trauma service, 20 (38{\%}); trauma surgeon in emergency department, 20 (38{\%}); 24-hour operating room availability, 17 (33{\%}); trauma registry, 17 (33{\%}); trauma continuing medical education, 16 (31{\%}); trauma director, 15 (29{\%}); computed tomography technician in hospital, 15 (29{\%}); research, 14 (27{\%}); trauma coordinator, 14 (27{\%}); and neurosurgeon availability, 13 (25{\%}). No hospital that lacked commitment of surgeons (n=12) or hospital (n=3) requested a verification visit. Twenty-four hospitals (46{\%}) achieved verification by February 1994. Twenty-eight hospitals had six or fewer deficiencies, with 19 (68{\%}) verified. Twenty-four hospitals had seven or more deficiencies, with only five (21{\%}) subsequently verified. Verification visits followed consultation by 3 to 52 months. Two hospitals with nine deficiencies were verified after 30 and 48 months, although one failed its first verification visit. Conclusions: American College of Surgeons consultation assists hospitals to identify their trauma center capability and appears to improve their ability to pass subsequent trauma center verification. Most criteria deficiencies are correctable. Lack of commitment by the surgeons or hospital is difficult to correct. There is an inverse relationship between the number of deficiencies and subsequent verification.",
author = "Mitchell, {F. L.} and Thal, {E. R.} and Wolferth, {C. C.} and Hoyt, {D. B.} and Blaisdell, {F. W.} and R. Gillespie and J. Weigelt and H. Gaskill",
year = "1995",
language = "English (US)",
volume = "130",
pages = "578--584",
journal = "JAMA Surgery",
issn = "2168-6254",
publisher = "American Medical Association",
number = "6",

}

TY - JOUR

T1 - Analysis of American College of Surgeons trauma consultation program

AU - Mitchell, F. L.

AU - Thal, E. R.

AU - Wolferth, C. C.

AU - Hoyt, D. B.

AU - Blaisdell, F. W.

AU - Gillespie, R.

AU - Weigelt, J.

AU - Gaskill, H.

PY - 1995

Y1 - 1995

N2 - Objective: To identify the criteria deficiencies found during peer consultation of hospitals and the relationship to subsequent verification. Methods: Between September 1987 and December 1992, 52 hospitals had consultation visits using American College of Surgeons criteria. Each report was studied for deficiencies, frequency of deficiencies, and relationship to verification. Results: There are 108 American College of Surgeons criteria. Thirty-five different criteria deficiencies were found. The number of deficiencies per hospital ranged from zero to 12. The more frequent deficiencies included a lack of the following: quality improvement, 35 (67%); trauma service, 20 (38%); trauma surgeon in emergency department, 20 (38%); 24-hour operating room availability, 17 (33%); trauma registry, 17 (33%); trauma continuing medical education, 16 (31%); trauma director, 15 (29%); computed tomography technician in hospital, 15 (29%); research, 14 (27%); trauma coordinator, 14 (27%); and neurosurgeon availability, 13 (25%). No hospital that lacked commitment of surgeons (n=12) or hospital (n=3) requested a verification visit. Twenty-four hospitals (46%) achieved verification by February 1994. Twenty-eight hospitals had six or fewer deficiencies, with 19 (68%) verified. Twenty-four hospitals had seven or more deficiencies, with only five (21%) subsequently verified. Verification visits followed consultation by 3 to 52 months. Two hospitals with nine deficiencies were verified after 30 and 48 months, although one failed its first verification visit. Conclusions: American College of Surgeons consultation assists hospitals to identify their trauma center capability and appears to improve their ability to pass subsequent trauma center verification. Most criteria deficiencies are correctable. Lack of commitment by the surgeons or hospital is difficult to correct. There is an inverse relationship between the number of deficiencies and subsequent verification.

AB - Objective: To identify the criteria deficiencies found during peer consultation of hospitals and the relationship to subsequent verification. Methods: Between September 1987 and December 1992, 52 hospitals had consultation visits using American College of Surgeons criteria. Each report was studied for deficiencies, frequency of deficiencies, and relationship to verification. Results: There are 108 American College of Surgeons criteria. Thirty-five different criteria deficiencies were found. The number of deficiencies per hospital ranged from zero to 12. The more frequent deficiencies included a lack of the following: quality improvement, 35 (67%); trauma service, 20 (38%); trauma surgeon in emergency department, 20 (38%); 24-hour operating room availability, 17 (33%); trauma registry, 17 (33%); trauma continuing medical education, 16 (31%); trauma director, 15 (29%); computed tomography technician in hospital, 15 (29%); research, 14 (27%); trauma coordinator, 14 (27%); and neurosurgeon availability, 13 (25%). No hospital that lacked commitment of surgeons (n=12) or hospital (n=3) requested a verification visit. Twenty-four hospitals (46%) achieved verification by February 1994. Twenty-eight hospitals had six or fewer deficiencies, with 19 (68%) verified. Twenty-four hospitals had seven or more deficiencies, with only five (21%) subsequently verified. Verification visits followed consultation by 3 to 52 months. Two hospitals with nine deficiencies were verified after 30 and 48 months, although one failed its first verification visit. Conclusions: American College of Surgeons consultation assists hospitals to identify their trauma center capability and appears to improve their ability to pass subsequent trauma center verification. Most criteria deficiencies are correctable. Lack of commitment by the surgeons or hospital is difficult to correct. There is an inverse relationship between the number of deficiencies and subsequent verification.

UR - http://www.scopus.com/inward/record.url?scp=0028997822&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028997822&partnerID=8YFLogxK

M3 - Article

VL - 130

SP - 578

EP - 584

JO - JAMA Surgery

JF - JAMA Surgery

SN - 2168-6254

IS - 6

ER -