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新西兰国家创伤登记处:创伤质量改进的重要工具。

The New Zealand National Trauma Registry: an essential tool for trauma quality improvement.

机构信息

Department of Surgery, University of Auckland and National Trauma Network, Wellington, New Zealand.

National Trauma Network, Wellington, New Zealand.

出版信息

Eur J Trauma Emerg Surg. 2023 Aug;49(4):1613-1617. doi: 10.1007/s00068-023-02310-z. Epub 2023 Jul 6.

Abstract

PURPOSE

Trauma registries are essential tools for trauma systems and underpin any quality improvement activities. This paper describes the history, function, challenges, and future goals of the New Zealand National Trauma Registry (NZTR).

METHODS

Using the available publications and knowledge of the authors, the development, governance, oversight, and usage of the registry is outlined.

RESULTS

The New Zealand Trauma Network has run a national trauma registry since 2015 and this now contains over fifteen thousand major trauma patient records. Annual reports and a range of research outputs have been published. Key quality improvement initiatives have been undertaken and are described. Vulnerabilities include lack of longterm funding and a small workforce.

CONCLUSIONS

The NZTR has proven to be a critical component of trauma quality improvement in New Zealand. A user-friendly portal and a simple minimum dataset have been keys to successes but maintenance of an effective structure in a constrained healthcare system is a challenge.

摘要

目的

创伤登记处是创伤系统的重要工具,是任何质量改进活动的基础。本文描述了新西兰国家创伤登记处(NZTR)的历史、功能、挑战和未来目标。

方法

利用现有出版物和作者的知识,概述了登记处的开发、治理、监督和使用情况。

结果

新西兰创伤网络自 2015 年以来一直在运行国家创伤登记处,目前已包含超过 15000 名重大创伤患者的记录。已发布年度报告和一系列研究成果。已经开展了一些关键的质量改进举措,并对其进行了描述。脆弱性包括缺乏长期资金和劳动力不足。

结论

NZTR 已被证明是新西兰创伤质量改进的关键组成部分。用户友好的门户和简单的最小数据集是成功的关键,但在有限的医疗保健系统中维持有效的结构是一个挑战。

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The Australian Trauma Registry.澳大利亚创伤登记处。
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The Australian Trauma Registry (ATR): a leading clinical quality registry.澳大利亚创伤登记处(ATR):领先的临床质量登记处。
Eur J Trauma Emerg Surg. 2023 Aug;49(4):1639-1645. doi: 10.1007/s00068-023-02288-8. Epub 2023 Jun 22.

本文引用的文献

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Optimising base locations for New Zealand's Helicopter Emergency Medical Services.优化新西兰直升机紧急医疗服务的基地选址
Spat Spatiotemporal Epidemiol. 2021 Aug;38:100435. doi: 10.1016/j.sste.2021.100435. Epub 2021 Jun 12.

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