Factors Related to Participation in the Japan Trauma Data Bank
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概要
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The Japan Trauma Data Bank (JTDB) was officially launched in 2004. However, widespread hospital participation in the JTDB would appear to be a difficult goal given the current lack of infrastructure for data management systems in Japan. We therefore considered it important to investigate factors affecting overall hospital participation. In our study, we mailed questionnaires to all Trauma & Critical Care Centers and University Hospitals with Emergency Departments in Japan before the launch of the JTDB to give baseline data regarding each hospital, including their current data management system, and comparability of the recording items between their current system and the JTDB. Then the same institutions were re-surveyed three months later to check whether they had participated in the JTDB. Thirtynine of the 165 Trauma & Critical Care Centers and 19 of the 59 University Hospitals with Emergency Departments responded to both baseline and follow-up surveys. We found that those hospitals already using computerized data management systems, and designated Trauma & Critical Care Centers, were both more likely to have participated in the JTDB than their counterparts. Furthermore, the number of trauma patients recorded per medical doctor did not appear to affect participation. Factors making hospital participation more likely included the following: hospitals with large numbers of medical doctors; hospitals with a specially designated personal computer for data entry; hospitals employing personnel specifically for data entry; and those hospitals whose existing data management systems showed better comparability of recording items when compared to the JTDB. In summary, our study shows that participation in the JTDB, so far, appears to have been affected by the existing data management systems currently in use in hospitals throughout the country.
- 一般社団法人 日本救急医学会の論文
一般社団法人 日本救急医学会 | 論文
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