TY - JOUR
T1 - Establishing hospital-based trauma registry systems
T2 - Lessons from Kenya
AU - Stevens, Kent A.
AU - Paruk, Fatima
AU - Bachani, Abdulgafoor M.
AU - Wesson, Hadley H.K.
AU - Wekesa, John M.
AU - Mburu, Joseph
AU - Mwangi, Jonah M.
AU - Saidi, Hassan
AU - Hyder, Adnan A.
N1 - Funding Information:
This work was conducted as part of the Global Road Safety Programme, funded by Bloomberg Philanthropies. We would like to thank the following partners for their collaboration: Kenya Ministry of Health, Thika Hospital, Naivasha Hospital, Kenyatta National Hospital, and the World Health Organization.
Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.
PY - 2013/12
Y1 - 2013/12
N2 - Objective In the developing world, data about the burden of injury, injury outcomes, and complications of care are limited. Hospital-based trauma registries are a data source that can help define this burden. Under the trauma care component of the Bloomberg Global Road Safety Partnership, trauma registries have been implemented at three sites in Kenya. We describe the challenges and lessons learned from this effort. Methods A paper-based trauma surveillance form was developed, in collaboration with local hospital partners, to collect data on all trauma patients presenting for care. The form includes demographic information, pre-hospital care given, and patient care and clinical information necessary to calculate estimated injury surveillance. The type of data collected was standardized across all three sites. Frequent reviews of the data collection process, quality, and completeness, in addition to regular meetings and conference calls, have allowed us to optimize the process to improve efficiency and make corrective actions where required. Results Trauma registries have been implemented in three hospitals in Kenya, with potential for expansion to other hospitals and facilities caring for injured patients. The process of establishing registries was associated with both general and site-specific challenges. Problems were identified in planning, data collection, entry processes, and analysis. Problems were addressed when identified, resulting in improved data quality. Conclusions Trauma registries are a key data source for defining the burden of injury and developing quality improvement processes. Trauma registries were implemented at three sites in Kenya. Problems and challenges in data collection were identified and corrected. Through the registry data, gaps in care were identified and systemic changes made to improve the care of the injured.
AB - Objective In the developing world, data about the burden of injury, injury outcomes, and complications of care are limited. Hospital-based trauma registries are a data source that can help define this burden. Under the trauma care component of the Bloomberg Global Road Safety Partnership, trauma registries have been implemented at three sites in Kenya. We describe the challenges and lessons learned from this effort. Methods A paper-based trauma surveillance form was developed, in collaboration with local hospital partners, to collect data on all trauma patients presenting for care. The form includes demographic information, pre-hospital care given, and patient care and clinical information necessary to calculate estimated injury surveillance. The type of data collected was standardized across all three sites. Frequent reviews of the data collection process, quality, and completeness, in addition to regular meetings and conference calls, have allowed us to optimize the process to improve efficiency and make corrective actions where required. Results Trauma registries have been implemented in three hospitals in Kenya, with potential for expansion to other hospitals and facilities caring for injured patients. The process of establishing registries was associated with both general and site-specific challenges. Problems were identified in planning, data collection, entry processes, and analysis. Problems were addressed when identified, resulting in improved data quality. Conclusions Trauma registries are a key data source for defining the burden of injury and developing quality improvement processes. Trauma registries were implemented at three sites in Kenya. Problems and challenges in data collection were identified and corrected. Through the registry data, gaps in care were identified and systemic changes made to improve the care of the injured.
KW - Developing world
KW - Emergency medical systems
KW - Injury prevention
KW - Trauma care
KW - Trauma registries
UR - http://www.scopus.com/inward/record.url?scp=84891771371&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84891771371&partnerID=8YFLogxK
U2 - 10.1016/S0020-1383(13)70216-X
DO - 10.1016/S0020-1383(13)70216-X
M3 - Article
C2 - 24377783
AN - SCOPUS:84891771371
SN - 0020-1383
VL - 44
SP - S70-S74
JO - Injury
JF - Injury
IS - SUPPL. 4
ER -