Motevalian Seyed-Abbas, Haddadi Mashyaneh, Akbari Hesam, Khorramirouz Reza, Saadat Soheil, Tehrani Arash, Rahimi-Movaghar Vafa
School of Public Health, Tehran University of Medical Sciences, Tehran 11365-3876, Iran.
Chin J Traumatol. 2011;14(6):348-53.
To strengthen the current Injury Surveillance System (IS System) in order to better monitor injury conditions, improve protection ways and promote safety.
At first we carried out a study to evaluate the frameworks of IS System in the developed countries. Then all the available documents from World Health Organization, Eastern Mediterranean Regional Organization, as well as Minister of Health and Medical Education concerning Iran were reviewed. Later a national stakeholder's consultation was held to collect opinions and views. A national workshop was also intended for provincial representatives from 41 universities to identify the barriers and limitations of the existing program and further to strengthen injury surveillance.
The evaluation of the current IS System revealed many problems, mainly presented as lack of accurate pre- and post-hospital death registry, need of precise injury data registry in outpatient medical centers, incomplete injury data registry in hospitals and lack of accuracy in definition of variables in injury registry. The five main characteristics of current IS System including flexibility, acceptability, simplicity, usefulness and timeliness were evaluated as moderate by experts.
Major revisions must be considered in the current IS System in Iran. The following elements should be added to the questionnaire: identifier, manner of arrival to the hospital, situation of the injured patient, consumption of alcohol and opioids, other involved participants in the accident, intention, severity and site of injury, side effects of surgery and medication, as well as one month follow-up results. Data should be collected from 10% of all hospitals in Iran and analyzed every 3 months. Simultaneously data should be online to be retrieved by researches.
加强当前的伤害监测系统（IS系统），以便更好地监测伤害状况，改进防护措施并促进安全。
首先，我们开展了一项研究，以评估发达国家IS系统的框架。然后，对世界卫生组织、东地中海区域组织以及伊朗卫生和医学教育部的所有可用文件进行了审查。随后举行了一次全国利益相关者协商会议，以收集意见和看法。还为来自41所大学的省级代表举办了一次全国研讨会，以确定现有项目的障碍和局限性，并进一步加强伤害监测。
对当前IS系统的评估揭示了许多问题，主要表现为缺乏准确的院前和院后死亡登记、门诊医疗中心需要精确的伤害数据登记、医院伤害数据登记不完整以及伤害登记中变量定义缺乏准确性。专家们将当前IS系统的五个主要特征（灵活性、可接受性、简单性、实用性和及时性）评估为中等。
伊朗当前的IS系统必须进行重大修订。问卷应增加以下内容：标识符、到达医院的方式、受伤患者的状况、酒精和阿片类药物的使用情况、事故中其他相关参与者、意图、伤害的严重程度和部位、手术和药物的副作用以及一个月的随访结果。应从伊朗所有医院的10%收集数据，并每3个月进行一次分析。同时，数据应在线提供，以供研究人员检索。
