ginger floerchinger-franks, dr.p.h director, idaho trauma registry
TRANSCRIPT
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Ginger Floerchinger-Franks, Dr.P.HDirector, Idaho Trauma Registry
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The Idaho Datasetand the
National Trauma Data Standards
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Idaho Trauma Registry Background
• Established by Idaho Code §57-2003
• All acute care hospitals• All patients meeting inclusion criteria
• Injury surveillance system
• At minimum identify
• Access to care issues• Performance of emergency medical systems• Costs of trauma care• Outcomes for trauma victims
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Inclusion Criteria• Include:
• Dislocations, sprains, strains, fractures• Open wounds / Crushing injuries• Internal injuries / Intracranial injuries• Drowning / nonfatal submersions• Asphyxiation / strangulation• Electric current
• Additionally:
• Admission as in-patient
• Transfer between acute care hospitals by EMS
• Death
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ITR Dataset and Data Dictionary
• Developed by TRAC
• Minimum dataset (147 items)
• Hospitals – NTR (all common elements), TRAC (Idaho-specific elements)
• EMS – PCR / NEMSIS
• Transportation – VCR
• Vital Statistics – death certificate
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Standardized Hospital Data Entry
• Idaho Data Dictionary • NTR – for common data items• TRAC / other standard definitions for Idaho-
specific data items• www.idahotrauma.org
• Menu choices / reporting options• Injury coding software
• Text• ICD-9 codes
• ITR data entry QC
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Hospital Data Subset
• Patient demographics
• Injury demographics
• Initial hospital assessment
• Injury description
• Patient outcomes
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Patient Demographics
• Age
• Gender
• Race / ethnicity
• Linking elements
• Personal identifiers
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Injury Demographics
• When
• Where (county, type of location)
• Cause (E-codes)
• Safety equipment use
• Linking elements
• EMS agency
• Injury county
• Injury date and time
• Transfer hospital(s)
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Initial Patient Assessment
• In-hospital vital signs / time taken
• GCS (all patients) to calculate RTS, P(s)
• Procedures
• Initial diagnostic radiology
• Invasive procedures
• FAQ
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Injury Description
• Text description (detailed)
• ICD-9 codes
• Complications (ACS)
• Co-morbidities (ACS)
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Outcomes
• Proxy measures
• Discharge location
• Discharge GCS (all patients)
• Disabilities scores
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For More Information
• ITR Data Dictionary
• www.idahotrauma.org
• ITR FAQs
• www.idahotrauma.org
• Idaho Trauma Registry
• 338-5100 extension 221 • [email protected]
• National Trauma Data Standards• www.ntdsdictionary.org/dataElements/
datasetDictionary.html