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Hashmi ZG, Haut ER, Efron DT, Salim A, Cornwell EE, Haider AH. A Target to Achieve Zero Preventable Trauma Deaths Through Quality Improvement. JAMA Surg. 2018;153(7):686–689. doi:10.1001/jamasurg.2018.0159
Trauma remains the leading cause of death in Americans younger than 46 years, leading to nearly 200 000 deaths per year.1 To address this issue, major quality improvement initiatives have been undertaken at the national level to improve care at trauma centers. Although results of these efforts have been generally positive, major variations in outcomes between trauma centers continue to be documented.2 The fact that some hospitals perform better than others suggests that some patients are not receiving the best possible care, which may result in preventable deaths. Recognizing this issue, in its 2016 report, the National Academies of Sciences, Engineering, and Medicine (NASEM) recommended several measures to improve the quality of trauma care, and called for achieving zero preventable deaths after injury.3 Our objective is to determine the number of preventable trauma deaths (PTDs) in US hospitals to provide a specific target for this NASEM mandate.
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