Strengthening Injury Surveillance System in Iran

作     者：Seyed Abbas Motevalian Mashyaneh Haddadi Hesam Akbari Reza Khorramirouz Soheil Saadat Arash Tehrani Vafa Rahimi-Movaghar 

作者机构：School of Public Health Tehran University of Medical Sciences Tehran 11365-3876 Iran （Motevalian SA and Tehrani A） Injury Prevention and Safety Promotion Department Disaster and Emergency management Center Ministry of Health and Medical Education Tehran 11365-3876 Iran Student Scientific Research Center （SSRC） Tehran University of Medical Sciences Tehran 11365-3876 Iran Sina Trauma and Surgery Research Center Sina Hospital Tehran University of Medical Sciences Tehran 11365-3876 Iran 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2011年第14卷第6期

页      面：348-353页

学科分类：12[管理学] 1204[管理学-公共管理] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学] 

基　　金：This study was supported by Injury Prevention and Safety Promotion Department Disaster and Emergency Management Center Deputy of Health Ministry of Health and Medical Education of Iran 

主　　题：Wounds and injuries Population surveillance Registries Iran 

摘      要：Objective： To strengthen the current Injury Surveillance System （IS System） in order to better monitor injury conditions, improve protection ways and promote safety. Methods： At first we carried out a study to evaluate the frameworks of IS System in the developed countries. Then all the available documents from World Health Organization, Eastern Mediterranean Regional Organization, as well as Minister of Health and Medical Education concerning Iran were reviewed. Later a national stakeholder＇s consultation was held to collect opinions and views. A national workshop was also intended for provincial representatives from 41 universities to identify the barriers and limitations of the existing program and further to strengthen injury surveillance. Results： The evaluation of the current IS System revealed many problems, mainly presented as lack of accurate pre- and post-hospital death registry, need of precise injury data registry in outpatient medical centers, incomplete injury data registry in hospitals and lack of accuracy in definition of variables in injury registry. The five main characteristics of current IS System including flexibility, acceptability, simplicity, usefulness and timeliness were evaluated as moderate by experts. Conclusions： Major revisions must be considered in the current IS System in Iran. The following elements should be added to the questionnaire： identifier, manner of arrival to the hospital, situation of the injured patient, consumption of alcohol and opioids, other involved participants in the accident, intention, severity and site of injury, side effects of surgery and medication, as well as one month follow-up results. Data should be collected from 10% of all hospitals in Iran and analyzed every 3 months. Simultaneously data should be online to be retrieved by researches.