Author/Editor		Buhanec, Božidar; Brilej, Drago; Komadina, Radko; Vlaović, Miodrag
Title		Analiza kakovosti zdravljenja politravmatiziranih poškodovancev v Celju od 1991 do 1999
Translated title		Quality control and improvement of care in treatment of polytraumatized patients in Celje from 1992-1999
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 70, št. Suppl 1
Publication year		2001
Volume		str. I-31-3
Language		slo
Abstract		Background. The multiple injured patient outcomes in General and teaching hospital Celje were compared to international standards. The improvement of care was observed in successive time intervals. Methods. The data of 270 multiple injured patients were collected prospectively from 1992 to 1999. The z and W statistics of the TRISS methodology were assessed in successive two year intervals. Results. The values of the W (1.62) and z (0.89) statistics stress the quality of the treatment which is comparable with international standards. Since 1992 their values have constantly been improving. Conclusions. The quality control is the basis of the trauma care improvement. The National Trauma Registry is the basic condition for further trauma service improvement on the whole Slovenian territory.
Summary		Izhodišča. Z analizo rezultatov zdravljenja politravmatiziranih poškodovancev v Splošni in učni bolnišnici (SUB) Celje so primerjali kakovost zdravljenja z mednarodnimi standardi. Spremljali so uspehe zdravljenja v različnih obdobjih in ugotavljali učinkovitost ukrepov za izboljšanje kakovosti. Metode. Podatke za analizo so zbirali prospektivno. Analizirali so 270 politravmatiziranih poškodovancev, zdravljenih v SUB Celje od leta 1992 do 1999. Po metodologiji TRISS so izračunali z in W vrednosti. Med sabo so primerjali vrednosti v zaporednih dveletnih obdobjih. Rezultati. Vrednosti W (1,62) in z (0,89) kažeta na kakovost zdravljenja, ki ne zaostaja za mednarodnimi normami, in se od leta 1992 neprestano izboljšuje. Zaključki. Spremljanje rezultatov zdravljenja in učinkov novih ukrepov je temeljni pogoj za zagotavljanje kakovosti zdravljenja. Zaradi razpršenosti poškodovancev po številnih bolnišnicah v Sloveniji bo potrebno uvesti nacionalni register poškodovancev. Ta bo osnova analizam o kakovosti obravnave poškodovancev v Sloveniji.
Descriptors		MULTIPLE TRAUMA QUALITY OF HEALTH CARE GLASGOW COMA SCALE TREATMENT OUTCOME SURVIVAL ANALYSIS