A qualitative interview study among clinicians managing trauma patients: identifying barriers and potential solutions to improving a trauma registry in a lower-to-middle-income country (ORIGINAL ARTICLE)
Dublin Core
Title
A qualitative interview study among clinicians managing trauma patients: identifying barriers and potential solutions to improving a trauma registry in a lower-to-middle-income country (ORIGINAL ARTICLE)
Subject
interview, trauma registry, LMIC
Description
Background: The ability to adapt clinical management of trauma in many lower- and middle- income countries (LMICs) has been historically
constrained by nonexistent or inadequate data registries. These registries suffer from a variety of issues including administrative, logistical,
educational, feasibility, and financial barriers.
Objective: The present study aimed to survey physicians at a representative hospital with documented trauma record deficiencies regarding
their experiences with the current registry system, barriers that affect the current system, and recommendations for improvement.
Methods: This study was a qualitative analysis of the experiences and opinions of trauma physicians in the Emergency Department of Beni-Suef
University Hospital. Eight participants underwent a semi-structured interview covering the aforementioned topics. The interviews were then
coded to identify prominent themes, from which quotes that epitomized these themes were selected.
Results: The participants identified issues with the current data registry system that corroborates prior quantitative data at the location, particularly stressing the lack of critical information affecting patient care and safety including mechanisms of injury, patient identification information,
and time courses. Clinical duties and staffing were identified as primary barriers as the large patient volume seen in under-resourced hospitals
precludes the ability of the physician to adequately complete documentation. Simplicity and practical workflow modification in conjunction with
increased data utilization in the form of research output were stressed as desirable features that could facilitate the improvement of the current
system.
Conclusion: Data registries enable hospitals and public health systems to engage in primary and secondary interventions, thereby reducing
clinical volume loads and increasing clinical efficacy. After engaging in constructive discussion with physicians on the trauma care team at
Beni-Suef University Hospital, the goal of workflow modification within existing resources was established as the primary guiding principle for
subsequent interventional stages in improving the current trauma registry
constrained by nonexistent or inadequate data registries. These registries suffer from a variety of issues including administrative, logistical,
educational, feasibility, and financial barriers.
Objective: The present study aimed to survey physicians at a representative hospital with documented trauma record deficiencies regarding
their experiences with the current registry system, barriers that affect the current system, and recommendations for improvement.
Methods: This study was a qualitative analysis of the experiences and opinions of trauma physicians in the Emergency Department of Beni-Suef
University Hospital. Eight participants underwent a semi-structured interview covering the aforementioned topics. The interviews were then
coded to identify prominent themes, from which quotes that epitomized these themes were selected.
Results: The participants identified issues with the current data registry system that corroborates prior quantitative data at the location, particularly stressing the lack of critical information affecting patient care and safety including mechanisms of injury, patient identification information,
and time courses. Clinical duties and staffing were identified as primary barriers as the large patient volume seen in under-resourced hospitals
precludes the ability of the physician to adequately complete documentation. Simplicity and practical workflow modification in conjunction with
increased data utilization in the form of research output were stressed as desirable features that could facilitate the improvement of the current
system.
Conclusion: Data registries enable hospitals and public health systems to engage in primary and secondary interventions, thereby reducing
clinical volume loads and increasing clinical efficacy. After engaging in constructive discussion with physicians on the trauma care team at
Beni-Suef University Hospital, the goal of workflow modification within existing resources was established as the primary guiding principle for
subsequent interventional stages in improving the current trauma registry
Creator
Zeinab Mohammed, Yaseen Saleh, Eman Mohammed AbdelSalam, Emad El-Bana, El-Morsy Ahmed El-Morsy, Shaimaa Senosy, Jon Mark Hirshon
Source
DOI:https://doi.org/10.1093/ijcoms/lyad015
Publisher
Oxford University Press
Date
20 November 2023
Contributor
Sri Wahyuni
Format
PDF
Language
English
Type
Text
Files
Collection
Citation
Zeinab Mohammed, Yaseen Saleh, Eman Mohammed AbdelSalam, Emad El-Bana, El-Morsy Ahmed El-Morsy, Shaimaa Senosy, Jon Mark Hirshon, “A qualitative interview study among clinicians managing trauma patients: identifying barriers and potential solutions to improving a trauma registry in a lower-to-middle-income country (ORIGINAL ARTICLE),” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/11236.