benchmark is 80% but we have achieved 94% compliance this year, so we are doing better," she mentioned.
As successor to the MTOS, the NTDB
has steadily increased the number of contributing hospitals, but a third of the major trauma centers in the nation still find themselves unable to participate due to state regulations, financial constraints, personnel transitions, legal concerns, or other temporary or permanent factors.
NTDB includes information on patient age, sex, race, and ISS.
The number of hospitals participating in the NTDB in 1996 and earlier was small and all were almost exclusively low-volume centers.
Hospitals consistently fell within the same volume status in successive years for the 7 years the NTDB was evaluated.
Investment Promotion Agency, Jordan, 1998; NTDB
The NTDB is a voluntary reporting database, and bias toward the most severe accidents may be unintentionally introduced through this type of reporting system (minor accidents where occupants used restraint devices may not be reported).
population as a whole, since the majority of the hospitals that report to the NTDB are level I trauma centers.
Data entry in the NTDB is voluntary at participating hospitals and, therefore, may not include all trauma patients seen at an institution.
Unfortunately, the NTDB provides no information regarding the nature of the MVAs and, therefore, this hypothesis cannot be evaluated with these data.
Additional biases are related to whether or not a patient was tested for alcohol in the NTDB.
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