Delayed injuries in the emergency department in hospitalised trauma patients

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dc.authorid0000-0001-5879-7858
dc.authorscopusid57203644941
dc.authorscopusid16063414100
dc.authorscopusid56353965500
dc.authorscopusid57207945896
dc.authorscopusid55882854000
dc.authorscopusid57207946985
dc.authorwosidOrun, Serhat/AAB-2040-2020
dc.contributor.authorÖrün, Serhat
dc.contributor.authorAkoz, Ayhan
dc.contributor.authorDuman, Ali
dc.contributor.authorTürkdoğan, Kenan Ahmet
dc.contributor.authorTure, Mevlüt
dc.contributor.authorÜnlü, Derya
dc.date.accessioned2022-05-11T14:37:02Z
dc.date.available2022-05-11T14:37:02Z
dc.date.issued2020
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Acil Tıp Ana Bilim Dalı
dc.description.abstractIntroduction Busy emergency departments are associated with medical errors in care and evaluation for unstable trauma patients. Our study aimed to determine the extent, causes and adverse clinical consequences of missed injuries and delayed diagnoses in patients hospitalised with trauma in a Turkish Level 3 emergency department, and provide recommendations for emergency service workers and supervisors to help them reduce the number of injury diagnoses that are delayed. Methods In our prospective study, a total of 515 emergency department patients presenting with trauma between 1 July 2014 and 1 July 2015 were examined by an emergency physician and by a consultant, if necessary. Identified injuries were recorded using case forms, and hospitalised patients were discharged when their treatment was completed. After the patients were discharged their files were reviewed again and new injuries, different from those recorded in the case forms, were investigated. Results Of the 515 patients included, it was shown that an injury diagnosis had been delayed in 21 (3.9%). Of these injuries, 65% were related to the musculoskeletal system. Insufficient clinical evaluation of 95% of the patients who had a missed injury was identified, and, in 70% of missed injuries, the radiology reports had been delayed or incorrectly completed. Conclusion We believe that the delayed injury rate can be reduced in trauma patients with the use of fast and reliable radiological support and the intervention of a multidisciplinary trauma team.
dc.identifier.doi10.1177/1460408619837845
dc.identifier.endpage69
dc.identifier.issn1460-4086
dc.identifier.issn1477-0350
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85063321195
dc.identifier.scopusqualityQ3
dc.identifier.startpage64
dc.identifier.urihttps://doi.org/10.1177/1460408619837845
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8538
dc.identifier.volume22
dc.identifier.wosWOS:000503720600010
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorÖrün, Serhat
dc.language.isoen
dc.publisherSage Publications Ltd
dc.relation.ispartofTrauma-England
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectDelayed injuries
dc.subjectemergency services
dc.subjecttrauma
dc.subjectMissed Injuries
dc.subjectDiagnosis
dc.subjectManagement
dc.titleDelayed injuries in the emergency department in hospitalised trauma patients
dc.typeArticle

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