查看文章

Peer review of trauma deaths can be used to evaluate the efficacy of trauma systems. The objective of this study was to estimate the proportion of preventable trauma deaths and the factors contributing to poor outcome using peer review in a tertiary care hospital in a developing country.

All trauma deaths during a 2-year period (1 January 1998 to 30 December 1999) were identified and registered in a computerized trauma registry, and the probability of survival was calculated for all patients. Summary data, including registry information and details of prehospital, emergency room, and definitive care, were provided to all members of the peer review committee 1 week before the committee meeting. The committee then reviewed all cases and classified each death as preventable, potentially preventable, or non-preventable.

A total of 279 patients were …