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Previdi u zbrinjavanju tesko povredjenih
Author(s) -
Ana Šijački,
Djordje Bajec,
Pavle D Gregorić,
Aleksandar Karamarković,
Vesna Bumbaširević,
Vladimir Djukić,
Vasilije Jeremić,
Dejan V Radenković,
Nenad Dj Ivancević,
Branko Karadžić,
Z. Blagojević,
V.T. Nikolic
Publication year - 2010
Publication title -
acta chirurgica iugoslavica
Language(s) - English
Resource type - Journals
eISSN - 2406-0887
pISSN - 0354-950X
DOI - 10.2298/aci1004083s
Subject(s) - medicine , traditional medicine
Question of missed injuries is more often a question of human errors: task execution errors, procedural errors, communication errors, decision errors and noncompliance. Missed injuries are those which are not idetified in the first three days of hospitalisaation. This theme is not popular among physicians. Literature data mention percent from 3-29% missed injuries overall. The underlying causes errors are: false attributin, false negative prediction and false lebeling. False attribution involves a tendency to incorrectly link a clinical observation with an arroneous cause. This tendency also ignores one of the fundamental principles of the management of traumatic injury: that the index of suspicion should proceed on the basis of assumed wors resonable case scenario. Weaknesses of trauma systems: high patients volume, high-risk patients, long hours, changing set of resources, and problems sush bad admission planing, defficite anamnesis, defficite diagnostic procedures, bad communication, improvisation etc.

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