@article{ref1,
title="An analysis of missed injuries at a level 1 trauma center with a tertiary survey protocol",
journal="American journal of surgery",
year="2022",
author="Wilbers, Ashley and DeHoet, Christian A. and Sliter, R. Joseph and Noland, Adrianne and Quinn, Karson R. and Lightwine, Kelly and Helmer, Stephen D. and Haan, James M.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Tertiary surveys can help identify missed injuries, but how and when to conduct them remains uncertain. This study aimed to evaluate the outcomes of a policy requiring tertiary survey completion within 24 h post-admission. <br><br>METHODS: A retrospective review was performed with a pre-intervention time-period of 8/1/2019-1/31/2020, where tertiary surveys were performed prior to discharge (n = 762). During the post-intervention time-period of 8/1/2020-1/31/21 tertiary surveys were performed within 24 h of admission (n = 651). <br><br>RESULTS: Missed injury (1.6% [n = 12] vs. 1.5% [n = 10]; p = 0.953) and mortality rates (3.1% vs. 3.7%, p = 0.579) were similar between the pre- and post-intervention groups. Tertiary survey completion rates were higher (86.8% vs. 80.2%; p = 0.001) and exams performed earlier (1[1-1] vs. 1 [1-2] day, p < 0.001) in the post-intervention group. For those with missed injuries, time to injury identification and number of injuries identified on tertiary survey was unchanged. <br><br>CONCLUSION: Requiring tertiary surveys within 24 h of admission can help identify and correct missed injuries, but standardization of the tertiary survey process and documentation may be as important as the timing.<p /> <p>Language: en</p>",
language="en",
issn="0002-9610",
doi="10.1016/j.amjsurg.2022.04.010",
url="http://dx.doi.org/10.1016/j.amjsurg.2022.04.010"
}