A global agenda for electronic injury surveillance

Zargaran, Eiman; Adolph, Lauren; Schuurman, Nadine; Roux, Larissa; Ramsey, Damon; Simons, Richard K.; Spence, Richard T.; Nicol, Andrew; Navsaria, Pradeep; Puyana, Juan Carlos; Parry, Neil; Moore, Lynne; Aboutanos, Michel B.; Yanchar, Natalie; Razek, Tarek; Ball, Chad G.; Hameed, S. Morad

doi:10.1097/ta.0000000000000880

Cited by 10 publications

(10 citation statements)

References 9 publications

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“…4,10,19,[27][28][29] These impediments not only make injury surveillance efforts costly and inefficient, they often result in trauma databases lagging months behind. 1,20,21,23,26,30 With the creation of the eTHR, we have sought to shift the injury surveillance responsibilities from teams of data analysts that are not available in LMICs because of costs and limited resources to busy frontline clinicians. It is well known, however, that frontline clinicians are often reluctant to use surveillance tools that they view as burdensome, requiring large time investments without any immediate benefits to workflow or patient care.…”

Section: Platform Usabilitymentioning

confidence: 99%

“…One of the challenges of building trauma systems—the establishment of conventional trauma registries—has proven difficult because of data collection costs, large hospital admission volumes, and limited public health personnel . As a result, trauma registries have been largely absent in LMICs …”

Section: Introductionmentioning

confidence: 99%

“…9,17,18 As a result, trauma registries have been largely absent in LMICs. 2,[10][11][12][19][20][21][22][23] Point-of-care digital technology for clinical data collection may represent one solution toward establishing trauma registries in LMICs. 4 Smartphones, tablets, and computers are now almost universally available, and using these tools to bypass time-consuming and costly medical records reviews, manual database creation, and analysis could be a key to streamlining surveillance capabilities in low-resource centers.…”

mentioning

confidence: 99%

“…To date, however, there has been little documentation of the effectiveness of digital platforms for point-of-care clinical documentation and injury surveillance. [22][23][24][25][26] An electronic trauma health record (eTHR) has been developed and validated as an injury surveillance tool for LMICs. The eTHR is a cross-platform mobile application used by frontline trauma clinicians to capture initial assessment, resuscitation, operative, and discharge data as part of standard clinical documentation.…”

mentioning

confidence: 99%

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Association Between Real-time Electronic Injury Surveillance Applications and Clinical Documentation and Data Acquisition in a South African Trauma Center

et al. 2018

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Section: Platform Usabilitymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Association Between Real-time Electronic Injury Surveillance Applications and Clinical Documentation and Data Acquisition in a South African Trauma Center

et al. 2018

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“…[10][11][12][13] A critical first step in the development of these trauma systems is the collection and analysis of injury data in the form of a trauma registry. 14 Trauma registries record information related to the injury event, process of care, and outcome of the injured patient. 9 15 These data are vital to informed decision-making across the entire continuum of trauma care from injury prevention and mitigation to pre-hospital and hospital care, and finally rehabilitation and community care.…”

Section: Introductionmentioning

confidence: 99%

Maximizing the potential of trauma registries in low-income and middle-income countries

Rosenkrantz

Schuurman

Arenas

et al. 2020

Trauma Surg Acute Care Open

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Injury is a major global health issue, resulting in millions of deaths every year. For decades, trauma registries have been used in wealthier countries for injury surveillance and clinical governance, but their adoption has lagged in low-income and middle-income countries (LMICs). Paradoxically, LMICs face a disproportionately high burden of injury with few resources available to address this pandemic. Despite these resource constraints, several hospitals and regions in LMICs have managed to develop trauma registries to collect information related to the injury event, process of care, and outcome of the injured patient. While the implementation of these trauma registries is a positive step forward in addressing the injury burden in LMICs, numerous challenges still stand in the way of maximizing the potential of trauma registries to inform injury prevention, mitigation, and improve quality of trauma care. This paper outlines several of these challenges and identifies potential solutions that can be adopted to improve the functionality of trauma registries in resource-poor contexts. Increased recognition and support for trauma registry development and improvement in LMICs is critical to reducing the burden of injury in these settings.

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The Hybrid Electronic Medical Registry Allows Benchmarking of Quality of Trauma Care: A Five‐Year Temporal Overview of the Trauma Burden at a Major Trauma Centre in South Africa

et al. 2018

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Introduction This study is a five-year follow-up of previously published review of the trauma workload at our institution. It aims to provide evidence about the quality of trauma care delivered by a major academic trauma service in South Africa to provide a temporal analysis of trauma trends in the city of Pietermaritzburg. Materials and methods All trauma patients admitted by the Pietermaritzburg Metropolitan Trauma Service (PMTS) for the period December 2012-April 2018 were retrieved from the Hybrid Electronic Medical Registry (HEMR) for analysis.Results Over the five-year period, a total of 8722 trauma patients were admitted to Grey's Hospital. There were 7242 (83.0%) males. The average age was 29.66 years. A total of 1719 (19.7%) patients less than 19 years of age, 377 (4.3%) older than 60 years of age and 1480 (17.0%) female patients were admitted following trauma. Table 3 breaks down the mechanism of trauma. A total of 5027 patients sustained blunt trauma (57.6%), and 3334 (38.5%) sustained penetrating trauma. A total of 4808 patients sustained intentional trauma implying that 55.1% of all trauma was secondary to grievous bodily harm or assault either in the form of a stab wound or GSW or of an assault. There was a total of 2232 road traffic-related incidents, of which 37.9% (845) were pedestrian victims. The mortality rate for all trauma admissions was 4.5% (396). Of these 396 deaths, 64 (16.2%) were classified at the morbidity and mortality conference as being avoidable.Conclusions The HEMR has allowed us to track the burden of trauma presenting to our institution over a five-year period. This confirms previous studies over shorter time periods from our institution. The pattern of trauma has remained consistent, and the previously described high levels show no sign of decreasing. Interventions to try and reduce this burden are urgently required.

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A global agenda for electronic injury surveillance

Cited by 10 publications

References 9 publications

Association Between Real-time Electronic Injury Surveillance Applications and Clinical Documentation and Data Acquisition in a South African Trauma Center

Association Between Real-time Electronic Injury Surveillance Applications and Clinical Documentation and Data Acquisition in a South African Trauma Center

Maximizing the potential of trauma registries in low-income and middle-income countries

The Hybrid Electronic Medical Registry Allows Benchmarking of Quality of Trauma Care: A Five‐Year Temporal Overview of the Trauma Burden at a Major Trauma Centre in South Africa

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