The journal of trauma and acute care surgery
-
J Trauma Acute Care Surg · Mar 2016
Multicenter StudyA paradigm for achieving successful pediatric trauma verification in the absence of pediatric surgical specialists while ensuring quality of care.
Pediatric trauma centers (PTCs) are concentrated in urban areas, leaving large areas where children do not have access. Although adult trauma centers (ATCs) often serve to fill the gap, disparities exist. Given the limited workforce in pediatric subspecialties, many adult centers that are called upon to care for children cannot sufficiently staff their program to meet the requirements of verification as a PTC. We hypothesized that ATCs in collaboration with a PTC could achieve successful American College of Surgeons (ACS) verification as a PTC with measurable improvements in care. This article serves to provide an initial description of this collaborative approach. ⋯ Therapeutic/care management, level IV.
-
J Trauma Acute Care Surg · Mar 2016
Multicenter StudyTrauma center care is associated with reduced readmissions after injury.
Trauma center care has been associated with improved mortality. It is not known if access to trauma center care is also associated with reduced readmissions. We hypothesized that receiving treatment at a trauma center would be associated with improved care and therefore would be associated with reduced readmission rates. ⋯ Epidemiologic study, level III; therapeutic/care management study, level IV.