Sadeghi-Bazargani Homayoun, Sharifian Sakineh, Khorasani-Zavareh Davoud, Zakeri Raana, Sadigh Mehdi, Golestani Mina, Amiri Mousa, Masoudifar Reza, Rahmani Farzad, Mikaeeli Nasser, Namvaran Javad, Pour-Ebrahim Khalil, Rezaei Mahdi, Arabzadeh Babak, Samadirad Bahram, Seyffarshad Aliashraf, Mirza-Mohammadi-Teimorloue Fariba, Kazemnezhad Shahin, Marin Soudabe, Sheikhi Saeede, Mohammadi Reza
Research Center for Evidence-Based Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Health in Emergencies and Disasters, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Chin J Traumatol. 2020 Oct;23(5):265-270. doi: 10.1016/j.cjtee.2020.06.004. Epub 2020 Jun 24.
Various organizations and institutions are involved in road traffic injury (RTI) and crash registration such as police, forensic medicine organization, hospitals and emergency medical services. But there is a substantial uncertainty in interpreting the data, duplicated data collection and missing data in relation to RTI in most systems. This study aims to identify data sources for RTI surveillance in Iran and to explore traffic safety data source domains, data elements and detailed information by each data source.
This is a qualitative study which was conducted in 2017 in Iran. Data were collected employing semi-structured interviews with informants in road safety organizations in relation to traffic safety including Police, Ministry of Health and Medical Education as well as Forensic Medicine Organization and other authorities-in-charge. For completing the preliminary extraction information, the minimum data set was used and compared in each system.
Eight different organizations relevant to road traffic safety were identified. The main domain of data provided by each one consists of Emergency Medical System form, Police KAM114 form, Ministry of Transport and Road Administration, Red Crescent Organization/Disaster Management Information System, Ministry of Health and Medical Education, Forensic Medicine Organization, Insurance Company and Ministry of Justice. Each system has its own database, based upon its scope and mainly at crash and post-crash status and little on pre-crash circumstance.
All current registry systems are not surveillance systems for RTI prevention. Huge data have been collected in various registry systems in Iran, but most of the collected variables are duplicated in each system. On the other hand, some variables like alcohol and substance abuse, child seat belt, helmet use in relation to RTI prevention are missed in all systems. Accordingly, it is a critical need to integrate and establish a comprehensive surveillance system, with focus on the goal of each system and collection of minimum data in each organization, which currently is underway.
警察、法医学组织、医院和紧急医疗服务等各种组织和机构都参与道路交通事故（RTI）及碰撞登记工作。但在大多数系统中，在解释数据、重复数据收集以及与RTI相关的缺失数据方面存在很大的不确定性。本研究旨在确定伊朗RTI监测的数据来源，并探索交通安全数据源领域、数据元素以及每个数据源的详细信息。
这是一项于2017年在伊朗进行的定性研究。通过与道路安全组织中的受访者进行半结构化访谈来收集数据，这些组织涉及交通安全，包括警察、卫生和医学教育部以及法医学组织和其他主管当局。为完成初步提取信息，使用了最小数据集并在每个系统中进行比较。
确定了八个与道路交通安全相关的不同组织。每个组织提供的数据的主要领域包括紧急医疗系统表格、警察KAM114表格、交通和道路管理部、红新月会组织/灾害管理信息系统、卫生和医学教育部、法医学组织、保险公司和司法部。每个系统都有自己的数据库，基于其范围，主要涉及碰撞及碰撞后状态，而对碰撞前情况涉及较少。
所有当前的登记系统都不是用于预防RTI的监测系统。伊朗的各种登记系统收集了大量数据，但每个系统中收集的大多数变量都是重复的。另一方面，所有系统都遗漏了一些与预防RTI相关的变量，如酒精和药物滥用、儿童安全带、头盔使用情况。因此，迫切需要整合并建立一个全面的监测系统，并关注每个系统的目标以及每个组织中最小数据的收集，目前这项工作正在进行中。
