NOTS Researchers - Working Hard To Improve Patients Outcomes
Research continues to be an important part of NOTS...
According to the National Institutes of Health, research is defined as a “systematic investigation, including research development, testing and evaluation, designed to develop or contribute to generalizable knowledge.”
Using a multidisciplinary approach, we focus on trauma-related research. Our goal is to work collaboratively to improve trauma patient outcomes and to decrease mortality and morbidity.
NOTS Mechanism of Injury
In order to help evaluate the NOTS regional data for the annual report, in regards to mechanism of injury, NOTS has developed their own mechanism on injuries categories. All NOTS hospitals pick a NOTS mechanism when coding a chart on top of the ICD 10 external cause codes needed for state, NTDB and TQIP.
This helps our data specialist review injury mechanism for the region. This helps the most with falls, we have recognized that falls with ICD 10 have many codes and can become very specific. For example, the NOTS fall categories are same level fall, greater than 10 feet, less than 10 feet, and not further specified (NFS).
Are We Waiting for the Sky to Fall? Predictors of Withdrawl of Life-Sustaining Support in Older Trauma Patients: A Retrospective Analysis
Description:We hypothesized that patients with advance directives limiting care (ADLC) compared to those without ADLC are more likely to undergo withdrawal of life-sustaining support.
Multiregion Trauma Center Follow-Up Protocol for Transferred Trauma Patients
Description:Develop and implement a multiregion Injury Severity Score follow-up feedback protocol for transferring facilities to receive standardized information on patient treatment.
Blunt Splenic Injury within the Northern Ohio Trauma System: Where are we now?
Description: Non-operative management of hemodynamically stable patients with blunt splenic injury (BSI) has become the standard of care.
Decreased Mortality in Traumatic Brain Injury Following Regionalization of Trauma Across Hospital Systems
Description: The following abstract was accepted for presentation at the Eastern Association for the Surgery of Trauma (EAST). It will be presented in January 2014 at the yearly meeting.
Implementation of Cloud-Based Image Sharing Technology Significantly Reduced Repeat CT Imaging in a Regional Trauma System
Description: The practice of repeating computed tomography (re-CT) is common among trauma patients transferred between hospitals incurring additional cost and radiation exposure.
Outcomes of Outpatient Management of Pediatric Burns
Description: The literature surrounding pediatric burns has focused on inpatient management.
In-house Direct Supervision by an Attending is Associated with Differences in the Care of Patients with a Blunt Splenic Injury
Description: In-house Direct Supervision by an Attending with Blunt Splenic Injury.
Continued rationale of why hospital mortality is not an appropriate measure of trauma outcomes.
Description: Continued rationale of why hospital mortality is not an appropriate measure of trauma outcomes
Moving Beyond Traditional Measurement of Mortality after Injury
Description: The purpose of this study was to evaluate long-term mortality after trauma, and to determine risk factors and possible disparities related to mortality after hospital discharge.