Throughout analysis of trauma resuscitations with financial impact

被引:6
作者
Imami, ER
Clevenger, FW
Lampard, SD
Kallenborn, C
Tepas, JJ
机构
[1] Department of Surgery, Univ. Florida Hlth. Sci. Ctr./J., Jacksonville, FL
[2] Department of Surgery, Univ. Florida Hlth. Sci. Ctr. J., Jacksonville, FL 32209-6511
关键词
resuscitation; throughput; time; costs; in-house staff;
D O I
10.1097/00005373-199702000-00020
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objectives: In an era of diminishing reimbursement, efficient resource utilization is paramount, The effects of three parallel factors were tracked: (a) coordinated physician-hospital patient care, (b) increasing physician awareness of resources, and (c) in-house trauma attendings. Design: Observational study. Methods: A Windows-based database application was made to track an resuscitations at a Level I adult/pediatric trauma center, Time data were immediately entered upon discharge a from the resuscitation bay, and further data (Injury Severity Score, length of stay, and mortality) were obtained by linking to a concurrent trauma registry, Group I was a 6-month control, Group II reflects factors a and b, and group III adds factor c, each contributing 3 months of additional data, Statistical comparisons were made using analysis of variance and Fisher's exact test. Results: There were 2,546 resuscitations with 1,201, 636, and 709 in group I, II, and III, respectively: The five most frequent dispositions, resuscitation times, and hospital costs were analyzed. Conclusions: Given similar patient groups, factors a and b together and factor c improved throughput in the resuscitation bay bg approximately 35% (5-133 min) each. Hospital costs concurrently decreased with no rise in mortality.
引用
收藏
页码:294 / 298
页数:5
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