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Invited Critique | ONLINE FIRST

Time to Turn the Page:  Comment on “Association Between Trauma Quality Indicators and Outcomes for Injured Patients”

Charles D. Mabry, MD
Arch Surg. 2012;147(4):315-316. doi:10.1001/archsurg.2011.1421.
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Glance et al1 have provided an excellent and provocative analysis of the relationship between process measures and outcomes for patients with traumatic injuries. Briefly summarized, their study analyzed data collected in a statewide trauma registry for patients hospitalized in trauma centers. The data covered the first decade of our new millennium (2000-2009) and comprised more than 200 000 patients, allowing for robust statistical analysis. Their aim was to examine the relationship between the current ACSCOT quality indicators vs outcomes (measured by death or major complications) of the patients. Their conclusion: many of these old process measures simply do not work to measure quality or have any relationship to the patient's outcomes.

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