CURRENT TRAUMA REGISTRY FACILITIES:

PILOT PHASE:  Santa Cruz, Bolivia 

photo credit: Bolivian Trauma Registry

Santa Cruz de la Sierra, Bolivia is the most populous city in the country, and was selected as the initial site for the trauma registry program due to strong local stakeholder engagement. The pilot phase of the ITSDP/PTS Trauma Registry began in January 2015 at one facility based on the Panamerican Trauma Society Essential Elements registry model. The selected hospital, Clínica Foianini, is a private, 50-bed, third-level facility located in the city center. Education and training sessions were held over two days with emergency room staff, who were selected to prospectively collect registry data using a two-page, paper form that reflected the variables within the electronic registry.

In October 2015, four additional facilities joined Clínica Foianini in the Bolivian Trauma Registry program, together constituting the institutions that treat the majority of trauma patients in the city. These include:

• Hospital San Juan de Dios: a public, 224-bed, third-level facility that treats non-pregnant adults (aged 13 years and older)
• Hospital Universitario Japones: a public, 189-bed, third-level facility that manages patients of all ages
• Hospital de Niños Mario Ortiz Suarez: a public, 120-bed, third-level facility that cares for children up to the age of 12
• Hospital Municipal Plan Tres Mil: a public, 146-bed, second-level facility located at the periphery of the city in a low socioeconomic neighborhood

An official policy instructive released in October 2015 by the Secretary of Health and Social Policy and the Director of the Health Department of the Autonomous Department of Santa Cruz made the trauma registry obligatory in the five participating hospitals. Site visits were made to each hospital, and discussions were held with emergency room and hospital leaders, and those involved with epidemiological surveillance and statistics. These meetings were done to ensure essential stakeholder engagement from the start, and to inform registry methodology and process modifications, such as data collection form changes to increase clarity and setting applicability. Multiple training sessions on data collection and entry were held at each site, and the program officially began in all five hospitals in December 2015.

Regular meetings are held with hospital and health department leaders to review data quality and highlight targets for improvement. Additional presentations are given to emergency room staff at each of the participating hospitals, to demonstrate the results of their efforts as well as to identify problem areas. As of March 2015 there were over 1,500 patient entries in the electronic registry system. Future plans include program expansion to additional hospitals within the city, and to other municipalities in the Department of Santa Cruz, along with standardization and integration of pre-hospital data from first responder groups.

PILOT PHASE:  Medellin, Colombia

Medellin is the second largest city in Colombia and the capital of the Antioquia department. Intentional and non-intentional injuries resulted in 34,529 deaths or 18.3% of all deaths in Colombia in 2005. During November 2012 the ITSDP/PTS Trauma Registry was implemented at San Vicente Fundacion. Training was conducted in two days and included talks on trauma systems, trauma registry, quality improvement and data reporting. 

PILOT PHASE: Panama City, Panama

photo credit: Panamanian Trauma Registry

During February 2012, the Santo Tomas hospital, the main trauma center in Panama city was trained during a two day period on the use of the registry. During 2010 a total of 15,576 patients were admitted to the ER due to trauma, representing 26% of all ER patients, of these 3% died.

Doctors and nurses in charge of the trauma registry were trained for two days. During the first day the director of the trauma center, Dr. Martha Quiodettis, gave a hospital tour to the instructors and evaluated the forms that are used for data collection of all trauma patients. During training, participants accessed the registry and learned how to enter data and also entered data of patients that were currently hospitalized using their forms. The second day participants managed the data entered by generating fixed and modifiable reports.

PILOT PHASE:  Cali, Colombia

photo credit: Colombian Trauma Registry

The PTS with the initiative to establish the use of a trauma registry in Latin America initiated the pilot phase of the electronic trauma registry in the "Hospital Universitario del Valle" and the "Fundación Vallle de Lili" in Cali, Colombia, during October 2011. The Hospital Universitario del Valle is one of the main trauma centers in Cali, with an estimated number of 43,652 emergency patients in the 2010, of which 20% were admitted with trauma injuries. The Valle de Lili foundation had a total of 10,000 trauma consults in 2010 with a total of 1200 patients that were admitted.*

Training was conducted in a two day period, to a group of 14 people including paramedics, statisticians, epidemiologist, trauma and critical care fellows and medical students. During the first day a presentation on trauma systems and trauma registry was given. After which access to the registry was granted to participants and training on how to use the registry initiated. Participants were trained on how to enter patient data in the "Trauma Registry" module and entered patient data as an interactive practice. During the second day training on how to generate reports with patient’s data was conducted. They learned how to generate fixed reports and filter specific reports.

If you would like to be part of the ITSDP/PTS Trauma Registry please contact the trauma registry coordinator:

Nancy Valencia
nancy.valenciarojas@vcuhealth.org   
ITSDP Coordinator
Division of Acute Care Surgical Services
Department of Surgery
Virginia Commonwealth University
School of Medicine
Box 980454
804.828.8576 | FAX: 804.628.4861