The design and evaluation of a system for improved surveillance and prevention programmes in resource-limited settings using a hospital-based burn injury questionnaire.
The design and evaluation of a system for improved surveillance and prevention programmes in resource-limited settings using a hospital-based burn injury questionnaire.
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DOI：
10.1136/injuryprev-2015-041815
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发表时间：
2016-04
期刊：
影响因子：
--
通讯作者：
Sage M
中科院分区：
文献类型：
--
作者：
Peck M;Falk H;Meddings D;Sugerman D;Mehta S;Sage M
烧伤数据收集系统有限且分散。全球登记可能会导致更好的伤害估计并识别风险因素。世界卫生组织、全球清洁炉灶联盟、疾病预防控制中心和国际烧伤协会共同努力简化和标准化住院患者烧伤数据收集。由流行病学家和烧伤护理从业人员组成的专家小组就开发新的全球烧伤登记（GBR）表格和在线数据输入系统提供了建议，该系统预计可用于资源丰富或资源有限的环境。国际烧伤组织、疾病预防控制中心 (CDC) 和世界卫生组织 (WHO) 邀请烧伤中心参与对 GBR 系统进行试点测试。世界卫生组织和疾病预防控制中心主持了一次系统实施网络研讨会教程。在 8 个月的时间里，30 个国家的 52 家医院参加了试点，并获得了 GBR 仪器、指南和数据可视化工具。评估来自 29 家医院（56%）。上传完整表格的中位时间<10 分钟；医生最常输入数据 (64%)，其次是护士 (25%)；布局、清晰度、准确性和相关性均获得较高评价；绝大多数人 (85%) 认为大堡礁对于确定烧伤预防计划的优先顺序、制定和监测“非常有价值”。 GBR 被证明是简单、灵活且为用户所接受的。加强区域和全球对烧伤流行病学的了解可能有助于在资源有限的环境中优先选择、制定和测试烧伤一级预防干预措施。
Limited and fragmented data collection systems exist for burn injury. A global registry may lead to better injury estimates and identify risk factors. A collaborative effort involving the WHO, the Global Alliance for Clean Cookstoves, the CDC and the International Society for Burn Injuries was undertaken to simplify and standardise inpatient burn data collection. An expert panel of epidemiologists and burn care practitioners advised on the development of a new Global Burn Registry (GBR) form and online data entry system that can be expected to be used in resource-abundant or resource-limited settings. International burn organisations, the CDC and the WHO solicited burn centre participation to pilot test the GBR system. The WHO and the CDC led a webinar tutorial for system implementation. During an 8-month period, 52 hospitals in 30 countries enrolled in the pilot and were provided the GBR instrument, guidance and a data visualisation tool. Evaluations were received from 29 hospitals (56%). Median time to upload completed forms was <10 min; physicians most commonly entered data (64%), followed by nurses (25%); layout, clarity, accuracy and relevance were all rated high; and a vast majority (85%) considered the GBR ‘highly valuable’ for prioritising, developing and monitoring burn prevention programmes. The GBR was shown to be simple, flexible and acceptable to users. Enhanced regional and global understanding of burn epidemiology may help prioritise the selection, development and testing of primary prevention interventions for burns in resource-limited settings.