Trauma Quality Improvement Program mortality reporting system case reports: Unanticipated mortality because of limitations in blood product availability.

Russo, Rachel M; Mandell, Samuel P; Jensen, Aaron R; ACS TQIP Mortality Reporting System Writing Group · J Trauma Acute Care Surg · 2025

case_series · Level IV

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Abstract

The Trauma Quality Improvement Program Mortality Reporting System is an online anonymous case reporting system designed to share experiences from rare events that may have contributed to unanticipated mortality at contributing trauma centers. The Trauma Quality Improvement Program Mortality Reporting System Working group monitors submitted cases and organizes them into emblematic themes. This report summarizes two cases of unanticipated mortality due to limited availability of blood products. We present strategies to mitigate these delays locally and decrease unanticipated mortality nationally.

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