Trauma Quality Improvement Program mortality reporting system case reports: Unanticipated mortality because of imaging-related delays in care.

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 a case of unanticipated mortality related to imaging-related delays in hemorrhage control. We present strategies to mitigate these events locally with the hope of decreasing unanticipated mortality nationwide.