Two hospitals with 1 trauma system: A joint approach to the care of the injured patient

Randeep S. Jawa, David H. Young, Michel Wagner, Diane Yetter, Valerie Shostrom, Samuel Cemaj, Lawrence Nelson, Robert Ramey, Megan Sorensen, Michelle Schwedhelm, David W Mercer, Joseph Clarke Stothert Jr

Research output: Contribution to journalArticle

Abstract

Background: Trauma centers are closing at an alarming rate, but the need for trauma care persists. This article shows the sustainability and feasibility of a joint trauma system whereby 2 university-affiliated hospitals function as a single trauma center system in a moderate-sized city. Methods: Since 1994, 3 days per week, trauma patients are transported by emergency medical services (EMS) to hospital A. The other 4 days they are transported to hospital B. Trauma registry data from 1994 to 2008 were analyzed. Cost data were also examined. Results: The joint system admitted 28,338 trauma patients. On each center's nontrauma days, trauma team activation was required infrequently. The 2 centers share costs; they perform joint outreach, educational training, and quality control. The joint trauma system has been sustained since 1994. Conclusions: Two hospitals functioning as a single trauma center system is a viable model of care for injured patients in a moderate-sized city with mostly blunt trauma.

Original languageEnglish (US)
Pages (from-to)454-460
Number of pages7
JournalAmerican journal of surgery
Volume203
Issue number4
DOIs
StatePublished - Apr 1 2012

Fingerprint

Patient Care
Joints
Wounds and Injuries
Trauma Centers
Costs and Cost Analysis
Emergency Medical Services
Quality Control
Registries

Keywords

  • Cost
  • Hospital
  • Joint trauma
  • Organization
  • System

ASJC Scopus subject areas

  • Surgery

Cite this

Two hospitals with 1 trauma system : A joint approach to the care of the injured patient. / Jawa, Randeep S.; Young, David H.; Wagner, Michel; Yetter, Diane; Shostrom, Valerie; Cemaj, Samuel; Nelson, Lawrence; Ramey, Robert; Sorensen, Megan; Schwedhelm, Michelle; Mercer, David W; Stothert Jr, Joseph Clarke.

In: American journal of surgery, Vol. 203, No. 4, 01.04.2012, p. 454-460.

Research output: Contribution to journalArticle

Jawa, RS, Young, DH, Wagner, M, Yetter, D, Shostrom, V, Cemaj, S, Nelson, L, Ramey, R, Sorensen, M, Schwedhelm, M, Mercer, DW & Stothert Jr, JC 2012, 'Two hospitals with 1 trauma system: A joint approach to the care of the injured patient', American journal of surgery, vol. 203, no. 4, pp. 454-460. https://doi.org/10.1016/j.amjsurg.2011.04.006
Jawa, Randeep S. ; Young, David H. ; Wagner, Michel ; Yetter, Diane ; Shostrom, Valerie ; Cemaj, Samuel ; Nelson, Lawrence ; Ramey, Robert ; Sorensen, Megan ; Schwedhelm, Michelle ; Mercer, David W ; Stothert Jr, Joseph Clarke. / Two hospitals with 1 trauma system : A joint approach to the care of the injured patient. In: American journal of surgery. 2012 ; Vol. 203, No. 4. pp. 454-460.
@article{98cfe7b98a8242e1894b8c116995b32b,
title = "Two hospitals with 1 trauma system: A joint approach to the care of the injured patient",
abstract = "Background: Trauma centers are closing at an alarming rate, but the need for trauma care persists. This article shows the sustainability and feasibility of a joint trauma system whereby 2 university-affiliated hospitals function as a single trauma center system in a moderate-sized city. Methods: Since 1994, 3 days per week, trauma patients are transported by emergency medical services (EMS) to hospital A. The other 4 days they are transported to hospital B. Trauma registry data from 1994 to 2008 were analyzed. Cost data were also examined. Results: The joint system admitted 28,338 trauma patients. On each center's nontrauma days, trauma team activation was required infrequently. The 2 centers share costs; they perform joint outreach, educational training, and quality control. The joint trauma system has been sustained since 1994. Conclusions: Two hospitals functioning as a single trauma center system is a viable model of care for injured patients in a moderate-sized city with mostly blunt trauma.",
keywords = "Cost, Hospital, Joint trauma, Organization, System",
author = "Jawa, {Randeep S.} and Young, {David H.} and Michel Wagner and Diane Yetter and Valerie Shostrom and Samuel Cemaj and Lawrence Nelson and Robert Ramey and Megan Sorensen and Michelle Schwedhelm and Mercer, {David W} and {Stothert Jr}, {Joseph Clarke}",
year = "2012",
month = "4",
day = "1",
doi = "10.1016/j.amjsurg.2011.04.006",
language = "English (US)",
volume = "203",
pages = "454--460",
journal = "American Journal of Surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "4",

}

TY - JOUR

T1 - Two hospitals with 1 trauma system

T2 - A joint approach to the care of the injured patient

AU - Jawa, Randeep S.

AU - Young, David H.

AU - Wagner, Michel

AU - Yetter, Diane

AU - Shostrom, Valerie

AU - Cemaj, Samuel

AU - Nelson, Lawrence

AU - Ramey, Robert

AU - Sorensen, Megan

AU - Schwedhelm, Michelle

AU - Mercer, David W

AU - Stothert Jr, Joseph Clarke

PY - 2012/4/1

Y1 - 2012/4/1

N2 - Background: Trauma centers are closing at an alarming rate, but the need for trauma care persists. This article shows the sustainability and feasibility of a joint trauma system whereby 2 university-affiliated hospitals function as a single trauma center system in a moderate-sized city. Methods: Since 1994, 3 days per week, trauma patients are transported by emergency medical services (EMS) to hospital A. The other 4 days they are transported to hospital B. Trauma registry data from 1994 to 2008 were analyzed. Cost data were also examined. Results: The joint system admitted 28,338 trauma patients. On each center's nontrauma days, trauma team activation was required infrequently. The 2 centers share costs; they perform joint outreach, educational training, and quality control. The joint trauma system has been sustained since 1994. Conclusions: Two hospitals functioning as a single trauma center system is a viable model of care for injured patients in a moderate-sized city with mostly blunt trauma.

AB - Background: Trauma centers are closing at an alarming rate, but the need for trauma care persists. This article shows the sustainability and feasibility of a joint trauma system whereby 2 university-affiliated hospitals function as a single trauma center system in a moderate-sized city. Methods: Since 1994, 3 days per week, trauma patients are transported by emergency medical services (EMS) to hospital A. The other 4 days they are transported to hospital B. Trauma registry data from 1994 to 2008 were analyzed. Cost data were also examined. Results: The joint system admitted 28,338 trauma patients. On each center's nontrauma days, trauma team activation was required infrequently. The 2 centers share costs; they perform joint outreach, educational training, and quality control. The joint trauma system has been sustained since 1994. Conclusions: Two hospitals functioning as a single trauma center system is a viable model of care for injured patients in a moderate-sized city with mostly blunt trauma.

KW - Cost

KW - Hospital

KW - Joint trauma

KW - Organization

KW - System

UR - http://www.scopus.com/inward/record.url?scp=84859108346&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84859108346&partnerID=8YFLogxK

U2 - 10.1016/j.amjsurg.2011.04.006

DO - 10.1016/j.amjsurg.2011.04.006

M3 - Article

C2 - 21906718

AN - SCOPUS:84859108346

VL - 203

SP - 454

EP - 460

JO - American Journal of Surgery

JF - American Journal of Surgery

SN - 0002-9610

IS - 4

ER -