Trauma registry as a tool for identifying problems and proposing measures directed to promote quality improvement in trauma patients

• Grant number: 12/51281-7
• Support Opportunities: Research Grants - Research in Public Policies for the National Health Care System (PP-SUS)
• Start date: January 01, 2014
• End date: December 31, 2015
• Field of knowledge: Health Sciences - Medicine - Surgery
• Agreement: CNPq - PPSUS
• Principal Investigator: José Gustavo Parreira
• Grantee: José Gustavo Parreira
• Host Institution: Hospital Central. Santa Casa de Misericórdia de São Paulo. Irmandade da Santa Casa de Misericórdia de São Paulo (ISCMSP). São Paulo , SP, Brazil

Abstract

It is estimated that five million people die annually due to trauma around the world. For each death, there are dozens of hospitalizations, hundreds of emergency admissions and thousands medical consultations. Quality control has become a helpful tool in order to decrease mortality, morbidity and costs of trauma care. Even measures for trauma prevention can be figured by analyzing the information obtained from quality control policies. The Trauma Registry is one of processes described for quality control. It can be described as a data bank formed by information collected during the patients assessment and treatment. Scores can stratify the physiologic and anatomic severity, as well as the probability of survival. The expected mortality and morbidity can be compared with the observed ones, allowing quality assessment. However, in our country we do not have an organized Trauma Registry. The implementation of such a process might have some specific problems in Brazil. Costs and the real usefulness in our heath system can be questioned. The main objective of this study is to assess the implementation of a Trauma Registry in a busy public hospital emergency Service in Sao Paulo, Brazil. The project will be developed in seven stages, during a period of two years. Ali the search for resources, grants, team gathering, preparation, training and software adaptation will be analyzed, as well as the quality markers and the solutions drawn from this data. We believe that, with the data gathered in this project, it will be possible to propose the definitive implementation of the Trauma Registry as a tool for quality improvement not only in our Service but in all hospitals that treat severe trauma patients in our country. (AU)