The importance and value of the trauma registry cannot be over-emphasized its role in the overall objective of coordinated trauma care to reduce death/disability in Pennsylvania.
The trauma registry serves several purposes. It provides:
- A basis for the trauma center accreditation process.
- A mechanism for the review of the quality of care provided by the state’s trauma system and trauma centers.
- Uniform, consistent data for systems and clinical research.
Data submitted by participating hospitals are returned in the form of reports and analyses, which compare the outcomes of that institution’s patients with those of comparable institutions in Pennsylvania. The analyses are useful for quality assurance, education, and research. All data received from participating hospitals and analysis results are treated as strictly confidential by the Pennsylvania Trauma System Foundation (PTSF).
From the time the Pennsylvania Trauma Outcome Study (PTOS) registry began operation on October 1, 1986, over 1 million trauma patients have been entered into the database.
This data is being utilized by the PTSF for several purposes:
- To identify cases for site surveys and peer review conferences.
- For reevaluation of the Standards for Trauma Center Accreditation.
- For defining the criteria for the Major Trauma patient and various other projects.
The completeness and accuracy for registry data is imperative when applied to such research projects. For example, completed information regarding the patient’s pre-existing conditions provides insight when examining the patient’s recovery and discharge disability.
As the state trauma registry developed and the volume of trauma patients increased in accredited trauma centers, clear and more concise definitions of data elements were required. Additional data elements were necessary to provide a more useful registry for very experienced trauma registrars who fully support the accredited trauma centers. Therefore, the Trauma Registry Committee was formed for the purpose of revising this manual. Many hours of planning, revising, and consulting are devoted by this committee and PTSF staff to the publication of the PTOS Manual.