Evaluation of the Implementation of the National Minimum Data Set for Injury Surveillance (NMDS-IS 0.3)

Monash University Accident Research Centre - Report #70 - 1995

Authors: F. Williams, J. Ozanne-Smith, L. Day, P. Cameron, C. Leong

Full report in .pdf format [1.1MB]

Abstract:

The current moves to computerisation of hospital emergency departments in Victoria and other states are occurring at the same time as injury surveillance is moving towards implementation of the National Minimum Data Set for Injury Surveillance (NMDS-IS), as defined by the National Injury Surveillance Unit. Thus, this represents an opportunity for the NMDS-IS to be incorporated into the routine activities of hospital emergency departments.

This report details the findings of an evaluation of the implementation of the NMDS-IS, using Pickware software, at the Geelong Hospital Emergency Department. Data capture and quality is evaluated on initial implementation and following a series of interventions (notably software changes). Usefulness of the data, in terms of the level of detail provided, is assessed. The feasibility of centralisation of the collected data is also examined and recommendations are made for the facilitation of this. Issues arising during the evaluation, and future directions in injury surveillance, are also addressed.

Recommendations include: (i) encouraging co-operation by emergency department staff through promoting an understanding of their role in injury prevention; (ii) promoting data completeness and quality by - the collection of the full NMDS-IS items (Level 1) for baseline data, use of compulsory fields, staff training in data collection (particularly narrative collection & recording) and providing regular, timely analyses of data; (iii) continuing the fine tuning and customisation of software; (iv) continuing the monitoring of the various systems in use in emergency departments; (v) advising hospitals to take into consideration future needs for more detailed data collections (Level 2 data) when implementing systems; (vi) facilitating the centralisation of data through software changes, and through appropriate communication of summary details on data format etc; and (vii) improving the performance of computerised systems (e.g. rapid response, useful output) to provide assistance to staff in the management of their emergency department.

Sponsor: National Injury Surveillance Unit, Australian Institute of Health and Welfare