A review of trauma systems using the Calgary model.
Surgeons caring for severely injured patients have witnessed tremendous change over the past 2 decades with the rapid evolution of trauma systems. This paper describes the evolution of trauma systems in Canada, using the one in Calgary as a model. Canadian system guidelines were produced by the Trauma Association of Canada in 1993. Participation in Canadian accreditation is accelerating as increasingly more centres across the country undergo external review each year. Reporting of trauma outcomes, including standardized mortality and a variety of performance measures, is becoming the norm. Injury is being treated as a disease with comprehensive control strategies aimed at reducing death and disability rates through prevention, treatment and rehabilitation.
Kortbeek
J B
JB
Department of Surgery, University of Calgary, Alta. kortbeek@supernet.ab.ca
D000063:Accidents, Traffic / Q000401:mortality; D000068:Accreditation / Q000458:organization & administration*; D000416:Alberta; D001315:Australia / Q000453:epidemiology; D002170:Canada / Q000453:epidemiology; D003362:Cost-Benefit Analysis; D017052:Hospital Mortality; D006801:Humans; D017146:Models, Organizational; D009104:Multiple Trauma / Q000453:epidemiology / Q000517:prevention & control / Q000628:therapy*; D017063:Outcome Assessment, Health Care / Q000458:organization & administration*; D018579:Patient Selection; D017410:Practice Guidelines as Topic / Q000592:standards*; D019984:Quality Indicators, Health Care / Q000458:organization & administration; D011788:Quality of Life; D012041:Regional Medical Programs / Q000458:organization & administration*; D012680:Sensitivity and Specificity; D012955:Societies, Medical; D014193:Trauma Centers / Q000458:organization & administration*; D014218:Triage / Q000379:methods; D006113:United Kingdom / Q000453:epidemiology; D014481:United States / Q000453:epidemiology