PT  - JOURNAL ARTICLE
AU  - Richard Simons
AU  - Andrew Kirkpatrick
TI  - Assuring optimal trauma care: the role of trauma centre accreditation
DP  - 2002 Aug 01
TA  - Canadian Journal of Surgery
PG  - 288--295
VI  - 45
IP  - 4
4099  - http://canjsurg.ca/content/45/4/288.short
4100  - http://canjsurg.ca/content/45/4/288.full
SO  - CAN J SURG2002 Aug 01; 45
AB  - Optimal care of the injured patient requires the delivery of appropriate, definitive care shortly after injury. Over the last 30 to 40 years, civilian trauma systems and trauma centres have been developed in the United States based on experience gained in military conflicts, particularly in Korea and Vietnam. A similar process is evolving in Canada. National trauma committees in the US and Canada have defined optimal resources to meet the goal of rapid, appropriate care in trauma centres. They have introduced programs (verification or accreditation) to externally audit trauma centre performance based on these guidelines. It is generally accepted that implementing trauma systems results in decreased preventable death and improved survival after trauma. What is less clear is the degree to which each facet of trauma system development contributes to this improvement. The relative importance of national performance guidelines and trauma centre audit as integral steps toward improved outcomes following injury are reviewed. Current Trauma Association of Canada guidelines for trauma centres are presented and the process of trauma centre accreditation is discussed.