Injury severity: better data through direct physician entry of anatomic injuries?
The authors compared the injury diagnoses and Injury Severity Scores (ISSs) generated by three data-collection and -coding methods, and examined the times needed and costs associated with the methods. One method involved direct electronic entry of injury data by a physician in the admitting area. Codes, severity scores, and times and costs varied significantly with the different methods, thus suggesting a need for further study of the derivation of injury severity codes.
Cushing
B M
BM
National Study Center for Trauma and Emergency Medical Systems, University of Maryland, Baltimore 21201.
Teitelbaum
S D
SD
Burman
W
W
Karges
D
D
Bame
W
W
D015998:Abbreviated Injury Scale; D000043:Abstracting and Indexing / Q000191:economics / Q000379:methods / Q000592:standards*; D017046:Cost Savings; D003625:Data Collection / Q000191:economics / Q000379:methods / Q000592:standards*; D003953:Diagnosis-Related Groups; D001330:Electronic Data Processing / Q000191:economics / Q000592:standards; D005069:Evaluation Studies as Topic; D006801:Humans; D015601:Injury Severity Score; D008505:Medical Staff, Hospital / Q000706:statistics & numerical data*; D009104:Multiple Trauma / Q000145:classification* / Q000175:diagnosis / Q000453:epidemiology; D013997:Time Factors