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Professionalism of Admitting and Consulting Services and Trauma Patient Outcomes. Annals of surgery Cooper, W. O., Hickson, G. B., Guillamondegui, O. D., Cannon, J. W., Charles, A. G., Hoth, J. J., Alam, H. B., Tillou, A., Luchette, F. A., Skeete, D. A., Domenico, H. J., Meredith, J. W., Brennan, T. M., Smith, B. P., Kelz, R. R., Biesterveld, B. E., Busuttil, A., Jopling, J. K., Hopkins, J. R., Emory, C. L., Sullivan, P. G., Martin, R. S., Howerton, R. M., Cryer, H. M., Davidson, H. A., Gonzalez, R. P., Spain, D. A. 2022

Abstract

OBJECTIVE: To determine whether trauma patients managed by an admitting or consulting service with a high proportion of physicians exhibiting patterns of unprofessional behaviors are at greater risk of complications or death.SUMMARY BACKGROUND DATA: Trauma care requires high-functioning interdisciplinary teams where professionalism, particularly modeling respect and communicating effectively, is essential.METHODS: This retrospective cohort study used data from nine level I trauma centers that participated in a national trauma registry linked with data from a national database of unsolicited patient complaints. The cohort included trauma patients admitted January 1, 2012 through December 31, 2017. The exposure of interest was care by one or more high-risk services, defined as teams with a greater proportion of physicians with high numbers of patient complaints. The study outcome was death or complications within 30?days.RESULTS: Among the 71,046 patients in the cohort, 9,553 (13.4%) experienced the primary outcome of complications or death, including 1,875 of 16,107 patients (11.6%) with 0 high-risk services, 3,788 of 28,085 patients (13.5%) with one high-risk service, and 3,890 of 26,854 patients (14.5%) with 2+ high-risk services (p?

View details for DOI 10.1097/SLA.0000000000005416

View details for PubMedID 35185124