Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths

Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths Key PointsQuestionWhat are the methodological differences in military and civilian trauma preventable death studies? FindingsIn this systematic review of 50 studies (8 military and 42 civilian), including 6500 military deaths reviewed and 19 108 civilian deaths reviewed, qualitative assessment of the methods used to determine the preventable death rate in both populations was variable. Similar to civilian studies, the validity and reliability of military preventable death studies are weakened by inconsistent preventable death definitions and criteria, medical and nonmedical evidence reviewed, final determination process, and identification of suboptimal delivery of care. MeaningA mixed-methods analytic approach that can integrate qualitative and quantitative analyses into formal preventable death review definitions, guidelines, and standard operating procedures may improve the reliability and reduce bias of preventable death determination. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright 2018 American Medical Association. All Rights Reserved.
ISSN
2168-6254
eISSN
2168-6262
D.O.I.
10.1001/jamasurg.2017.6105
Publisher site
See Article on Publisher Site

Abstract

Key PointsQuestionWhat are the methodological differences in military and civilian trauma preventable death studies? FindingsIn this systematic review of 50 studies (8 military and 42 civilian), including 6500 military deaths reviewed and 19 108 civilian deaths reviewed, qualitative assessment of the methods used to determine the preventable death rate in both populations was variable. Similar to civilian studies, the validity and reliability of military preventable death studies are weakened by inconsistent preventable death definitions and criteria, medical and nonmedical evidence reviewed, final determination process, and identification of suboptimal delivery of care. MeaningA mixed-methods analytic approach that can integrate qualitative and quantitative analyses into formal preventable death review definitions, guidelines, and standard operating procedures may improve the reliability and reduce bias of preventable death determination.

Journal

JAMA SurgeryAmerican Medical Association

Published: Apr 21, 2018

References

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