The Trauma Registry as a statewide quality improvement tool
- Authors: Cameron, Peter , Gabbe, Belinda , McNeil, John , Finch, Caroline , Smith, Karen , Cooper, James , Judson, Rodney , Kossmann, Thomas
- Date: 2005
- Type: Text , Journal article
- Relation: The Journal of Trauma Vol. 59, no. 6 (2005), p. 1469-1476
- Full Text: false
- Reviewed:
- Description: Background: Trauma registries have been developed to describe the pattern of trauma and trauma workload, provide data for research, and to demonstrate changes in patient outcomes. Quality improvement using trauma registries at a systemwide level has been difficult to achieve. In Victoria, Australia, a statewide trauma system and trauma registry has been established to monitor and feedback the process of management and outcomes of major trauma patients across all healthcare providers. Methods: The development and implementation of the Victorian State Trauma Registry (VSTR), including its role as a quality monitoring tool and results from the first 2 years of operation, are provided. Results: More than 80% of major trauma patients are being managed at major trauma services and standardized death rates are comparable with international standards. Quality indicators identify some areas for improvement. Conclusion: VSTR data indicate that the statewide trauma system is working well and provides a method for ongoing monitoring and trauma care feedback. (C) 2005 Lippincott Williams & Wilkins, Inc.
Developing Australia's first statewide trauma registry : What are the lessons?
- Authors: Cameron, Peter , Finch, Caroline , Gabbe, Belinda , Collins, Lisa , Smith, Karen , McNeil, John
- Date: 2004
- Type: Text , Journal article
- Relation: ANZ Journal of Surgery Vol. 74, no. 6 (2004), p. 424-428
- Full Text: false
- Reviewed:
- Description: Trauma registries, like disease registries, provide an important analysis tool to assess the management of patient care. Trauma registries are well established and relatively common in the USA and have been used to change legislation, promote trauma prevention and to evaluate trauma system effectiveness. In Australia, the first truly statewide trauma registry was established in Victoria in 2001 with an estimated capture of 1700 major trauma cases annually. The Victorian State Trauma Registry, managed by the Victorian State Trauma Outcomes Registry and Monitoring (VSTORM) group, was established in response to a ministerial review of trauma and emergency services undertaken in 1997 to advise the Victorian Government on a best practice model of trauma service provision that was responsive to the particular needs of critically ill trauma patients. This taskforce recommended the establishment of a new system of care for major trauma patients in Victoria and a statewide trauma registry to monitor this new system. The development of the Victorian state trauma registry has shown that there are certain issues that must be resolved for successful implementation of any system-wide registry. This paper describes the issues faced by VSTORM in developing, implementing and maintaining a statewide trauma registry.
- Description: 2003005108