Trauma Registry
A Trauma registry is a computerized database that comprises a wide-ranging demographics, injury information, and trauma outcomes. The collection of this information helps in the assessment of trauma care for set injured patients who meet certain standards for inclusion. Some of the information contained in this registry includes hospital-based trauma information and patient data from other health care providers which includes pre-hospital care and rehabilitation if applicable (Zenati).
The first computerized trauma registry was created in 1969 by the Cook County Hospital in Chicago which became the model for the state of Illinois Trauma Registry. This registry commenced to accumulate information from fifty chosen trauma center hospitals in the state in 1971. The early registries were stored in mainframe computers but in 1985 they began to be stored in microcomputers. Subsequently, many hospitals all over the world have established trauma registries. In the United States alone, there are thirty seven states that have a trauma registry. These registries comprise of information on patients treated in trauma centers (Nwomeh).
Trauma registries influence processes that enhance patient care. A trauma registry that designed well can help health care providers, legislators, and community health agencies to work together when it comes to trauma care. A unified trauma registry which follows a common set of standards delivers the best information system for a performance improvement process, which is an important requirement for trauma centers and systems (Nwomeh).
Even though the main source of trauma registry information comes from trauma centers, the data can be changed to fit regional, state, and national lev...
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...Therefore, to stay up to date, the trauma registrar must pursue continuing self-education. Coursework in coding, to include ICD-9-CM and ICD-10-CM would also be helpful. Furthermore, prior experience in the medical field is of great advantage and assistance to an entry level trauma registrar (Mutto).
Works Cited
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The trauma-informed care lab was a very impactful experience for me as a student pharmacist and as a person. Prior to the lab, I have always believed that childhood experiences can influence a person’s outcome as an adult. While this belief humanizes those, who have made poor choices in life, it is difficult for me to vindicate every case I see. However, after seeing the statistical facts from the ACE study and especially the movie Healing Neen, I found it easier to show empathy and understanding to those who made those choices.
The prevalence of trauma of all types is widespread throughout much of the world and includes trauma from accident, child abuse and neglect, domestic violence, political conflict, war, or other human struggles. The many faces of bullying, hatred, economic insecurity and oppression (racism, sexism) leave a steady stream of survivors carrying the burdens of fear, anxiety, rage, and physical illness.
Childhood Trauma is defined as “The experience of an event by a child that is emotionally painful or distressful, which often results in lasting mental and physical effects.” (The National Institute of Mental Health). Childhood trauma is an epidemic that seems to be running its way throughout the world. Childhood trauma is a worldwide problem that can affect anyone and everyone. People tend to just try and help the problems that occur due to the childhood trauma, but not the problem itself. Many of these issues will also follow the child into their adult years and will cause negative effects. This paper will discuss the negative outcomes for a child who suffers from childhood trauma, and the negative outcomes that can follow them into adulthood.
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Electronic Health Record systems (EHR) are essential to amending health quality and managing health care distribution, whether in an extremely immense health system, hospital, or primary care clinic. The U.S. Department of Veterans Affairs (VA) has developed and perpetuates to maintain a strong EHR kenned as VistA - the Veterans Health Information Systems and Technology Architecture. This system was designed and developed to strengthen a high-quality medical care environment for the military veterans in the United States. The VistA system is in maintained today at hundreds of VA medical centers and outpatient clinics across the country. (http://worldvista.org/AboutVistA)
Greeson et al. (2010) found complex trauma to be a significant predictor on tests for internalizing problems, for PTSD, and for having at least one clinical diagnosis. They recommend a “trauma-informed perspective, because of the negative effects of trauma on an already negatively-affected population” This means catering treatment, considering the client’s experiences and seeking out evidence based approaches to trauma-based treatments.
A silent epidemic in America is the all too common childhood exposure to interpersonal traumatic stressors (D’Andrea, Ford, Stolbach, Spinazzola, & van der Kolk, 2012). Approximately 6.6 million children were reported to Child Protective Services (CPS) in 2014 with alleged abuse or neglect (ACF, 2014). Parents are the culprit of eighty percent of all children who endure maltreatment (van der Kolk, 2005). According to Fratto (2016), maltreatment is abuse and/ or neglect by a parent or caregiver. Children who have been exposed to emotional and physical abuse, neglect, sexual abuse, or witness to war can affect the development of a secure attachment between the child and caregiver (Cook et al., 2005). Evidence shows children
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Due to the fact that many patients during times of stress and trauma are unable to recall a substantial amount of their health history and medications, using electronic records would really help a new doctor on their case figure out how to provide the best healthcare outcomes for them. The way the healthcare system works today, many people are able to see any doctor they would like depending on the type of health insurance they have acquired. Unless the client is very diligent about getting copies of the medical records, or having the records faxed, many primary care physicians never receive records from other care providers. This causes a lot of disjointed medical care. The use of electronic medical records could really alleviate this problem. It is very important for clients to receive continuity of care. For the best patient healthcare outcomes, their care must be streamlined. In essence, this means that all of their comorbidities, medical history, and past surgeries would be in one place and able to be accessed when
Trauma-Focused Cognitive Behavioral Therapy for Children Affected by Sexual Abuse and Trauma. Retrieved from http://www.childwelfare.gov/pubpdfs/trauma.pdf 201507102201371109825492Child Welfare Information Gateway 2012 Trauma-Focused Cognitive Behavioral Therapy for Children Affected by Sexual Abuse and Trauma
Dr. Alice Miller, Childhood Trauma, presented as a lecture to the YWHA, New York City, 1998