NATIONAL ACCIDENT - INJURY DATABASENATIONAL ACCIDENT - INJURY DATABASE(UKAY)(UKAY)

PUBLIC HEALTH AGENCY OF TURKEYPUBLIC HEALTH AGENCY OF TURKEY

Working together to make Europe a safer place

AGENDA

LEGAL BASES

PAST ACTIVITIES

FUTURE ACTIVITIES

CHALLENGES & SOLUTIONS

National Market Surveillance Strategy Document (2010-2012) by Ministry of Finance

Strategic Goal 2- Strenghtening the Implementation Infrastructure

Strategic Target 3- Establishment of Accident-Injury Database and Putting it into the Use of Market Surveillance Authorities

STRATEGY DOCUMENT OF MINISTRY OF HEALTH (2010-2014)

Strategic Goal 4- To Continue to Develop Health System as a Contribution Tool to Economical Progress of Turkey and to Global Health

Strategic Target 4- To develop a multisectoral health responsibility policy towards ensuring that sectors are held responsible for the effects of their policies and actions on health

LEGAL BASES

National Accident-Injury Database (UKAY) was adapted from IDB

PAST ACTIVITIES

PAST ACTIVITIES

1. IDB Manual (VERSION 1.1 – JUNE 2005) was revised according to the needs of Turkish citizens

Creating new codes 06.0282 Magnetic toys21.0536 Air refreshers

Coloring codes of (direct/underlying/other) objects according to responsible Market Surveillance Authority

PAST ACTIVITIES

2. Data entry form was prepared

PAST ACTIVITIES

3. Data entry software was developed

Every single user (data entery staff) has his/her own username and

password to enter the system

Monitor performance

PAST ACTIVITIES

4. Web based data entry screen FDS

ModulesData Elements

5. Information System Infrastructure

EDs

Operational database of MoH Data warehouse

Data

Data

Data

ETL RAPORT

FIELD

INF

O

INF

O

Decision makers

Web based data entry

Data quality check

Business intelligence application

Data ready to momentary

interrogation

PAST ACTIVITIES

6. Pilot Implementation in one ED for 2 months Number of total persons taken to ED: 22000

Number of Injury Case: 936

PAST ACTIVITIES

PAST ACTIVITIES

6. Pilot Implementation in one ED for 2 months

Striking Results

3 cases because of the fall of the lift4 road accidents because of stray dogs

Many injuries during the breaks in schools because of unsafe conditions of school areas

7. Official Launch of National Accident-Injury Database (UKAY) 26-27th Jan 2012

Introduction of database to relevant governmental authorities (future stakeholders)

Briefing to head physicians of 14 EDs of hospitals

PAST ACTIVITIES

Training of ED staff (for data entry) of 14 hospitals throughout Turkey: 21-23/28-30 June 2012

Sign protocols with hospitals: 25th week Data collection: Starting from 1st of July, 2012 Quality check of data: 1st week of August, 2012 Feedback meeting & performance evaluation: 1st week of October, 2012 Quality check of data, reporting and sharing with Market Surveillance Authorities:

December 2012

FUTURE ACTIVITIES

CHALLENGES

1. Convincing decision makers 1. Emphasizing the gap for “current (Injury data collection is not a priority, situation analysis for injuries” which is its importance is not understood well) fundamental for undertaking many Strategic Goals for promoting public health

2. Establishing a bureu for UKAY 2. Still struggling against the difficulties,

(well-supported staff is required, trying to do our best and trying to train it is not the only job we do) other staff (to build a help desk) who are not very enthusiastic (because it will not be the only job they will do)

we’re searching for ways for their motivation

3. Convincing hospital managements 3. Trying to train as many data entry (staff is limited, 24 hours data staff as possible, looking for ways for

collection is difficult, data collection enforcement to the hospital the only job that the data entry staff do, management to manage the data entry circulation of staff is very frequent in the staff efficiently and to motivate them. hospitals: loss of time and effords for their trainings

SOLUTIONS

CHALLENGES

4. Market Surveillance Authorities ask for detailed injury information (i.e. For injuries caused by consumer products (direct/ underlying/other object) they’d like to know whether the source of injury is from the user’s fault or from the product defect . Such demands complicate the data collection process.

SOLUTIONS

4. Data entry staff was directed to note this distinction in the narrative part of the questionnaire when a product related case is encountered. Unless it works, this one more data element will be added to the questionnaire.

THANK YOU…THANK YOU…