@article{ref1,
title="Preventable deaths after head injury: a clinical audit of performance",
journal="Injury",
year="1991",
author="Barnes, M. R. and Allen, M. J. and Barton, D. J. and Phair, I. C.",
volume="22",
number="5",
pages="353-356",
abstract="A retrospective trauma audit of 267 consecutive patients presenting to the resuscitation room of an accident and emergency department identified 107 (M = 0.73) patients with CNS predominant injuries in a period of 1 year. The mortality rate was 33 per cent. Application of the TRISS method indicated that 18 (51 per cent) of the 35 deaths (Z = 5.74, P less than 0.001) were mathematically unexpected; no unexpected survivors were identified. Subsequent peer review agreed that death was preventable in 11 cases. The peer panel suggested that the lack of an on-site neurosurgical service may have affected the outcome of this group of patients adversely.<p /> <p>Language: en</p>",
language="en",
issn="0020-1383",
doi="",
url="http://dx.doi.org/"
}