title: Implementation of the trauma registry as a tool for quality improvement in trauma care in a brazilian hospital: the first 12 months.
abstract: OBJECTIVE
  to analyze the implementation of a trauma registry in a university teaching hospital delivering care under the unified health system (SUS), and its ability to identify points for improvement in the quality of care provided.
  
  
  METHODS
  the data collection group comprised students from medicine and nursing courses who were holders of FAPESP scholarships (technical training 1) or otherwise, overseen by the coordinators of the project. The itreg (ECO Sistemas-RJ/SBAIT) software was used as the database tool. Several quality "filters" were proposed to select those cases for review in the quality control process.
  
  
  RESULTS
  data for 1344 trauma patients were input to the itreg database between March and November 2014. Around 87.0% of cases were blunt trauma patients, 59.6% had RTS>7.0 and 67% ISS<9. Full records were available for 292 cases, which were selected for review in the quality program. The auditing filters most frequently registered were laparotomy four hours after admission and drainage of acute subdural hematomas four hours after admission. Several points for improvement were flagged, such as control of overtriage of patients, the need to reduce the number of negative imaging exams, the development of protocols for achieving central venous access, and management of major TBI.
  
  
  CONCLUSIONS
  the trauma registry provides a clear picture of the points to be improved in trauma patient care, however, there are specific peculiarities for implementing this tool in the Brazilian milieu.
authors.affiliation: Disciplina de Cirurgia de Urgência, Departamento de Cirurgia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil.
authors.forename: José Gustavo
authors.initials: JG
authors.lastname: Parreira
authors.affiliation: Departamento de Cirurgia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil.
authors.forename: Tércio
authors.initials: T
authors.lastname: de Campos
authors.affiliation: Disciplina de Cirurgia de Urgência, Departamento de Cirurgia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil.
authors.forename: Jacqueline A Gianinni
authors.initials: JA
authors.lastname: Perlingeiro
authors.affiliation: Disciplina de Cirurgia de Urgência, Departamento de Cirurgia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil.
authors.forename: Silvia C
authors.initials: SC
authors.lastname: Soldá
authors.affiliation: Disciplina de Cirurgia de Urgência, Departamento de Cirurgia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil.
authors.forename: José Cesar
authors.initials: JC
authors.lastname: Assef
authors.affiliation: Curso de Medicina, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil.
authors.forename: Augusto Canton
authors.initials: AC
authors.lastname: Gonçalves
authors.affiliation: Curso de Medicina, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil.
authors.forename: Bruno Malteze
authors.initials: BM
authors.lastname: Zuffo
authors.affiliation: Curso de Medicina, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil.
authors.forename: Caio Gomes
authors.initials: CG
authors.lastname: Floriano
authors.affiliation: Curso de Medicina, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil.
authors.forename: Erik Haruk
authors.initials: EH
authors.lastname: de Oliveira
authors.affiliation: Curso de Medicina, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil.
authors.forename: Renato Vieira Rodrigues
authors.initials: RV
authors.lastname: de Oliveira
authors.affiliation: Curso de Medicina, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil.
authors.forename: Amanda Lima
authors.initials: AL
authors.lastname: Oliveira
authors.affiliation: Curso de Medicina, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil.
authors.forename: Caio Gullo
authors.initials: CG
authors.lastname: de Melo
authors.affiliation: Curso de Medicina, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil.
authors.forename: Cristiano
authors.initials: C
authors.lastname: Below
authors.affiliation: Curso de Medicina, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil.
authors.forename: Dino R Pérez
authors.initials: DR
authors.lastname: Miranda
authors.affiliation: Curso de Medicina, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil.
authors.forename: Gabriella Colasuonno
authors.initials: GC
authors.lastname: Santos
authors.affiliation: Curso de Medicina, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil.
authors.forename: Gabriele Madeira
authors.initials: GM
authors.lastname: de Almeida
authors.affiliation: Curso de Medicina, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil.
authors.forename: Isabela Campos
authors.initials: IC
authors.lastname: Brianti
authors.affiliation: Curso de Medicina, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil.
authors.forename: Karina Baruel de Camargo
authors.initials: KB
authors.lastname: Votto
authors.affiliation: Curso de Medicina, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil.
authors.forename: Patrick Alexander Sauer
authors.initials: PA
authors.lastname: Schues
authors.forename: Rafael Gomes
authors.initials: RG
authors.lastname: dos Santos
authors.forename: Sérgio Mazzola Poli
authors.initials: SM
authors.lastname: de Figueredo
authors.forename: Tatiani Gonçalves
authors.initials: TG
authors.lastname: de Araujo
authors.forename: Bruna do Nascimento
authors.initials: Bdo N
authors.lastname: Santos
authors.forename: Laura Cardoso Manduca
authors.initials: LC
authors.lastname: Ferreira
authors.forename: Giuliana Olivi
authors.initials: GO
authors.lastname: Tanaka
authors.forename: Thiara
authors.initials: T
authors.lastname: Matos
authors.forename: Maria Daiana
authors.initials: MD
authors.lastname: da Sousa
authors.forename: Samara de Souza
authors.initials: Sde S
authors.lastname: Augusto
mesh_terms: D001938:Brazil; D006784:Hospitals, Teaching; D006801:Humans; D058996:Quality Improvement; D012042:Registries; D014947:Wounds and Injuries / Q000628:therapy*