
@article{ref1,
title="Trauma form documentation in major trauma",
journal="New Zealand medical journal",
year="2000",
author="Hamill, Joseph and Paice, R. and Civil, I.",
volume="113",
number="1108",
pages="146-148",
abstract="AIMS: To examine the impact of a standardised trauma form for documentation in cases of major trauma, a prospective study was undertaken. METHODS: Records written by medical staff pertaining to the assessment and treatment of major trauma patients in the resuscitation room were scored against a panel of parameters derived from advanced trauma life support guidelines. Demographics, aetiology, trauma scores and outcome data were obtained from a trauma registry. Attitudes of medical staff involved in major trauma to the trauma form were assessed using a questionnaire. RESULTS: The trauma form was used in 53 of 69 (76.8%) consecutive cases of major trauma seen over a three month period. No significant differences existed in demographics, aetiology, trauma scores or outcome between form and formless groups. In the form group, a median of 44 of 51 (86.3%) relevant information parameters were documented versus 32 of 51 (62.7%) in the formless group, p < 0.0001. A positive approach to the trauma form was indicated by the questionnaire results. CONCLUSION: The use of a standardised form improves documentation in major trauma.<p /><p>Language: en</p>",
language="en",
issn="0028-8446",
doi="",
url="http://dx.doi.org/"
}