CHIRPP: Canada's principal injury surveillance program
CHIRPP: Canada's principal injury surveillance program
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CHIRPP：加拿大主要伤害监测计划
DOI：
10.1136/ip.5.3.208
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发表时间：
1999
影响因子：
3.7
通讯作者：
I. Pless
中科院分区：
文献类型：
--
作者：
S. Mackenzie;I. Pless
监测通常被认为是制定有效的伤害预防计划的关键因素。当基于急诊室时，它比单独的死亡率数据更好地估计了伤害问题的严重程度。理想情况下，监督还可以提供新危害的早期预警，并可用于项目评估。
1990年以前，加拿大只有关于死亡率、住院率和某些具体伤害调查的统计数字。几乎没有关于严重到需要医疗但不需要住院的受伤情况的资料。如果没有这些数据，就无法迅速确定新原因造成的伤害，也难以评估以伤害为结果的干预方案。
加拿大医院伤害报告和预防计划（CHIRPP）是一个基于急诊室的伤害监测系统，在10家儿科医院和6家综合医院运行。技术和财政支助由加拿大卫生局（加拿大联邦卫生部）疾病控制实验中心儿童伤害处提供。该方案的主要办事处设在渥太华;参与的医院分布在七个省和一个地区。
本文件介绍了为满足加拿大对更好数据的需求而创建的CHIRPP的发展和运作情况。本详细说明旨在帮助其他国家/地区有类似问题的同事。许多论文使用了该计划的数据，1-24，但以前没有发表过对其的全面描述。
在1988年访问澳大利亚之后，我们之一（IBP）开始努力建立一个类似于加拿大国家伤害监测和预防计划（NISPP）的系统。第一步是说服医院管理者相信这样一个系统是重要的和可行的。因此，所有董事...
Surveillance is often held to be a key element in the development of effective injury prevention programs. When based in emergency rooms, it provides better estimates of the magnitude of the injury problem than mortality data alone. Ideally, surveillance also provides early warnings of new hazards and may be used for program evaluation.
Before 1990, in Canada only statistics on mortality, hospitalizations, and from some surveys of specific injuries, were available. There was little information on the occurrence of injuries severe enough to require medical care but not necessitating a hospital admission. Without such data injuries arising from new causes could not be identified quickly and it was difficult to evaluate intervention programs using injuries as the outcome.
The Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) is an emergency room based injury surveillance system that operates in 10 pediatric and six general hospitals. Technical and financial support are provided by the Child Injury Division (CID) of the Laboratory Centre for Disease Control (LCDC), a Directorate of Health Canada (Canada's federal Department of Health). The main office of the program is in Ottawa; participating hospitals are located in seven provinces and one territory.
This paper provides an account of the development and operation of CHIRPP which was created in response to Canada's need for better data. This detailed description is intended to help colleagues in other countries who have similar concerns. Many papers have used data from this program,1–24 but no comprehensive description of it has been published previously.
Following a visit to Australia in 1988, one of us (IBP) initiated efforts to create a system similar to its National Injury Surveillance and Prevention Program (NISPP) in Canada. The first step was to convince hospital administrators that such a system was important and feasible. Accordingly, directors of all …