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The Trauma Registry as a Statewide Quality Improvement Tool

Cameron, Peter A. MD, FACEM; Gabbe, Belinda J. PhD; McNeil, John J. PhD, FRACP, FAFPHM; Finch, Caroline F. PhD; Smith, Karen L. PhD; Cooper, D James MD, FRACP, FJFICM; Judson, Rodney FRACS, FRCS, FACS; Kossmann, Thomas MD, FRACS

Journal of Trauma-Injury Infection & Critical Care: December 2005 - Volume 59 - Issue 6 - pp 1469-1476
Article

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.

From the Department of Epidemiology and Preventive Medicine, Monash University (P.A.C., B.J.G., J.J.M.); National Trauma Research Institute, The Alfred Hospital (P.A.C., D.J.C., T.K.); the NSW Injury Risk Management Research Centre, University of New South Wales (C.F.F.); Metropolitan Ambulance Service, Victoria (K.L.S.); the Departments of Trauma Surgery (D.J.C., T.K.) and Intensive Care (D.J.C.), The Alfred Hospital and Monash University; and Trauma Service, Royal Melbourne Hospital (R.J.), Australia.

Submitted for publication June 8, 2004.

Accepted for publication April 20, 2005.

The Victorian State Trauma Registry is funded by a grant from the Victorian Trauma Foundation, and assistance from the Department of Human Services, Victoria. This study was supported by Public Health Fellowship 237024 (B.G.) and Practitioner Fellowship PF1 180404 (D.J.C.) from the National Health and Medical Research Council, Australia.

Address for reprints: Peter Cameron, M.D., Head, VSTORM, Department of Epidemiology and Preventive Medicine, Monash University, Central and Eastern Clinical School, Alfred Hospital, Commercial Road, Melbourne Victoria 3004, AUSTRALIA; email: peter.cameron@med.monash.edu.au.

© 2005 Lippincott Williams & Wilkins, Inc.