救命救急センター・大学病院救急部における外傷登録の現状

DOI
  • 市川 政雄
    東京大学大学院医学系研究科国際地域保健学教室
  • 中原 慎二
    東京大学大学院医学系研究科国際地域保健学教室
  • 若井 晋
    東京大学大学院医学系研究科国際地域保健学教室

書誌事項

タイトル別名
  • Trauma Registries in Japan

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We conducted a questionnaire survey to investigate problems in the usage of trauma registries at Trauma/Critical Care Centers and Emergency Departments within university hospitals in Japan. Of the 244 facilities, 84 replied via self-administered questionnaire (a response rate of 38%). We collected data regarding the management of existing trauma registries and assessed attitudes towards, expectations of and willingness to participate in the newly established Japan Trauma Data Bank (JTDB). The JTDB is a national trauma registry developed by the Japanese Associations of Acute Medicine and the Surgery of Trauma. Of the 84 responding facilities, 47 had computerized trauma registries but only 9 of the 47 facilities employed personnel for data entry. The work-burden involved in physical data entry and the actual quality of the data stored on registries were reported as major problems. To resolve these issues, it was suggested that centers allocate more personnel, make available more funds, reduce the amount of information requiring data entry, and simplify the data being entered. Sixty-one facilities stated their intention to participate in the JTDB. It was felt that the JTDB would lead to improvement in the quality of trauma care; be helpful in bridging the gap in the quality of trauma care between facilities and regions; enhance the awareness of the role of departmental staff; facilitate the sharing of information with emergency service personnel; be helpful for injury control. In sum, the JTDB would not only be useful for the purposes of medical audit but also would be helpful in alleviating the work-burden of data entry and should lead to an improvement in the quality of data collected. Therefore, it would appear reasonable to recommend that all efforts be made to expand the registry's coverage.

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