Injury
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Review
Management of war-related vascular wounds in French role 3 hospital during the Afghan campaign.
To describe the management of war-related vascular injuries in the Kabul French military hospital. ⋯ This was the first French reported series of war-related vascular injuries during the last decade's major conflicts. The majority of injuries occurred in the limbs. Autologous vein graft remains the treatment of choice for arterial repair. Functional severity of these injuries justifies specific training for military surgeons.
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The Agency for Health Care Research and Quality (AHRQ) developed patient safety indicators (PSIs) to identify events with a high likelihood of representing medical error. The purpose of this study was to validate PSIs attributed to trauma surgeons and compare validated PSIs to performance improvement (PI) and morbidity and mortality (M&M) data. We hypothesized that PSIs are not an indicator of quality of care in trauma. ⋯ Overall, PSIs have low validity and do not reflect quality of care in trauma.