Failure Mode Effects Analysis of Re-triage of Injured Patients to Receiving High-level Illinois Trauma Centers
Authors' conclusion
The most critical failures were limited transportation and incomplete exchange of clinical, radiological and arrival timing information.
Study context
- Population
- Trauma coordinators, surgeons, emergency medicine physicians, nurses, operations and quality managers at 9 high-level adult and 3 high-level pediatric Illinois trauma centers receiving re-triaged injured patients
- Participants
- 64 participants · 12 trauma centers
- Outcome
- Failures in the re-triage process, ranked by Risk Priority Number (RPN = impact x frequency x safeguard for detection)
Methodological detailsobservational, Failure Modes Effects Analysis (FMEA), multicentre
- Observational
- Failure Modes Effects Analysis (FMEA)
- Multicentre
Main finding
As reported in the abstract
Most critical re-triage failures (RPN)
Failures identified
178
Insufficient trained transport staff (Risk Priority Number (RPN))
648
Issues transmitting imaging from sending to receiving centers (RPN)
400
Incomplete exchange of clinical information (RPN)
384
Observational data: associations, not effects.
Original publication
Failure Mode Effects Analysis of Re-triage of Injured Patients to Receiving High-level Illinois Trauma Centers. Ann Surg. Published 11 October 2024. doi:10.
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