Trauma Registries form an essential component of a trauma program as a mechanism to enable performance evaluation and drive continuous improvements to quality of care (Benedict et.al., 2006). However, the lack of standardised and uniform data collection formats is challenging for a successful registry development. Across studies, prospective and retrospective data are collected through individual hospital-based surveys, clinical database case series, narrative reviews by the trauma centre, and consensus agreement between experts. The data are collected across different phases of patient transfer through prehospital treatment, triage, resuscitation room, OT/ ICU for definitive care, further management until discharge and follow up rehabilitation. However, for a successful implementation challenge in ensuring adequate data quality, infrastructure, maintenance of registry, budgets and manpower needs to addressed.
Design of Indicators for Trauma Registry
Quality indicators provide as a measurable unit to evaluate the trauma centre for its adherence to the structure,
process and outcome goals. A trauma registry should be designed to derive the health performance indicators
without substantial additional work. Stakeholder integration is pivotal in decreasing amenable mortality (e.g. RTA
fatalities). There is no structured registry which comprehensively collects data across all health stakeholders and
it creates a gap in the existing setup to audit the reasons for trauma centre performance.