Figure 1
Steps, stakeholders, and development process of the GBR.
(WHO) World Health Organization; (ISBI) International Society for Burn Injuries; (GACC) Global Alliance for Clean Cookstoves; (CDC) Centers for Disease Control. Adapted using information provided from “The design and evaluation of a system for improved sun/eillance and prevention programmes in resource- limited settings using a hospital-based bum injury questionnaire” [14].
Figure 2
Global Burn Registry (GBR) user registration, set-up, and use process.
Table 1
Respondents to GBR implementation surveys.
| GBR USERS | GBR NON-USERS | |
|---|---|---|
| Number (n) | 10 | 33 |
| Respondent Countries | India, Mozambique, Nigeria, Peru, Tanzania, United Kingdom, Zambia | Australia, Brazil, Ethiopia, India, Israel, Mozambique, Sudan, United Kingdom, United States, Zambia |
| Burn patients admitted annually | ||
| <50 | 0 | 5 |
| 50–100 | 2 | 2 |
| 100–150 | 3 | 5 |
| >150 | 5 | 11 |
| All burn patient data added to GBR? (Users only) | ||
| Yes | 3 | N/A |
| No | 7 | N/A |
| Have you previously contributed to GBR (Non-users only) | ||
| Yes | N/A | 6 |
| No | N/A | 27 |
| Any knowledge of GBR prior to survey? (Non-users, never contributed to GBR only) | ||
| Yes | N/A | 11 |
| No | N/A | 15 |
Table 2
Process pitfalls and best practice solutions described by Global Burn Registry (GBR) users and non-users.
| IDENTIFIED PROCESS PITFALL | PROPOSED BEST PRACTICE SOLUTIONS |
|---|---|
| GBR sign-up andset-up process. | – Utilize available resources for GBR use and implementation such as Interburns Global Burn Registry online module: – Using the GlobalBurn Registry (GBR) – Overview|Rise 360 (articulate.com) – Consider contacting a peer facility with experience in GBR use for consultation. |
| Obtaining buy-in and engagement from management and/or supervisors. | – Demonstrate the crucial role of standardized data collection for quality improvement programmes at participating facilities. – Look to obtain additionally support and external advocacy from Ministry of Health, regional WHO (e.g. PAHO, etc.) or WHO office. |
| Establishing and/or sustaining staff motivation. | – Emphasize utility of the GBR to inform injury control and prevention – Conduct regular “check-in” meetings to educate and motivate staff, as well as celebrate small milestones in the process |
| Inconsistent data collection. | – Develop a system for data collection:
|
| Inconsistent data uploads. | – Develop a system for data transcription and upload:
|
| Inconsistent internet connection. | – Develop a system of intermittent uploads that aligns with times of greater internet bandwidth (e.g. plan for data uploads at night). |
| Misplacing/difficulty tracking paper form. | – Print data collection form on brightly coloured paper. –Have involved staff develop an accepted filing system for the GBR. |
| Utilizing GBR data for quality improvement. | – Participating facilities can develop a plan to review the GBR inputs regularly (i.e. once per month, or more frequently). –Develop working groups in a virtual community of practice. |