Association of Practitioner Interfacility Triage Performance With Outcomes for Severely Injured Patients With Fee-for-Service Medicare Insurance.

ABSTRACT:

Importance

Despite evidence that treatment of severely injured patients at trauma centers is associated with reduced mortality, nearly half of all such patients are treated at nontrauma centers (undertriaged). Little is known about whether interfacility undertriage occurs because of practitioner decision-making or institutional and regional factors.

Objectives

To assess the associations between variation in triage practitioners at nontrauma centers and between practitioner-level variation and patient outcomes after injury.

Design, setting, and participants

This retrospective cohort study used Medicare claims data from severely injured patients presenting to nontrauma centers and the practitioners who evaluated them in the emergency department from January 1, 2010, to

SUBMITTER: Mohan D 

PROVIDER: S-EPMC6813581 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature