TY - JOUR T1 - The history of Harborview Medical Center and the Washington State Trauma System JF - Trauma Surgery & Acute Care Open DO - 10.1136/tsaco-2017-000091 VL - 2 IS - 1 SP - e000091 AU - Eileen M Bulger AU - Janet Griffith Kastl AU - Ronald V Maier Y1 - 2017/07/01 UR - http://tsaco.bmj.com/content/2/1/e000091.abstract N2 - Harborview Medical Center serves as the sole adult and pediatric level I trauma center for Washington State, and its faculty have led efforts to develop comprehensive systems of trauma care across the country. The Washington State trauma system is an inclusive system that was developed based on data-driven decisions to distribute resources based on population need. This article seeks to explore the history of Harborview Medical Center and the development of the Washington State trauma system to identify the guiding principles and lessons learned, which can facilitate system development for a host of time-sensitive medical conditions. ER -