Trauma Systems Development


Implementation of an effective Trauma System save lives, beginning with the pre-hospital phase of care through to the in-hospital setting. An integral part of trauma systems development is trauma research support. This will guide the development of the ensuing trauma system by interpreting the data from the Trauma Registry, as well as focused systems, clinical and administrative research will provide an evidence base for future developments The Australia New Zealand Trauma Registry (ATR) is a clinical quality registry administered by the NTRI, Alfred Health. This Commonwealth funded registry collates information on seriously injured patients across 34 sites in Australia and New Zealand. The ATR is a part of an overarching Australian Trauma Quality Improvement Program (AusTQIP) which aims to improve the quality and safety of trauma care provided at trauma centres in Australia. The Alfred Health Trauma Registry (AHTR) was established in late 1988, which collects data on all major and selected minor trauma cases presented at the Alfred. The important activities of the AHTR is to record trauma activity at The Alfred, monitor quality and service delivery as well as quarterly submissions to the Victorian State Trauma Registry.

Key Publications

The evolution of an integrated State Trauma System in Victoria, AustraliaThe evolution of an integrated State Trauma System in Victoria, Australia

2005; 36: 1277-87

Atkin C, Freedman I, Rosenfeld J, Fitzgerald M, Kossmann T

Experience gained from the implementation of the Saudi TraumA Registry (STAR)

BMC Health Services Research (2020) 20:18

Jane E. Ford, Abdulrahman S. Alqahtani, Shatha A. A. Abuzinada, Peter A. Cameron, Mark C. Fitzgerald, Ahmed S. Alenizi and Dina Farjou

What is the clinical evidence supporting Trauma Team Training (TTT): A systematic review and meta-analysis?

Medicina 30 August 2019, 55, 551; doi:10.3390/medicina55090551.

Michael Noonan, Alexander Olaussen, Joseph Mathew, Biswadev Mitra, De Villiers Smit, Mark Fitzgerald

Integrating Trauma Registry Data into Real-Time Patient Care

Emergency Medicine Australia. December 2018. doi: 10.1111/1742-6723.13217

Gerard O’Reilly, Mark Fitzgerald

The Australian Trauma Registry

ANZ J Surg. December 2018. doi:10.1111/ans.14940

Mark C Fitzgerald, Kate Curtis, Peter A Cameron, Jane E Ford, Teresa S Howard, John A Crozier, Ailene Fitzgerald, Russell L Gruen and Clifford Pollard on behalf of the AusTQIP Consortium

Towards a Sri Lankan National Trauma System

Journal of the Ceylon College of Physicians, 48:1, 2017. 24-25

Fitzgerald M C, O’Reilly G M, Seneviratne R, Ellawala R, Cameron P A

The World Health Organization trauma checklist versus Trauma Team Time-out: A perspective. Emergency Medicine Australasia


Fitzgerald M, Reilly S, Smit DV, Kim Y, Mathew J, Boo E, Alqahtani A, Chowdhury S, Darez A, Mascarenhas JB, et al

Overview of major traumatic injury in Australia–Implications for trauma system design

Injury October 10, 2019;10:58

P.A. Cameron, M.C. Fitzgerald, K. Curtis, E. McKie, B. Gabbe, A. Earnest, G. Christey, C. Clarke, J. Crozier, M. Dinh, D.Y. Ellis, T. Howard, A.P. Joseph, K. McDermott, J. Matthew, R. Ogilvie, C. Pollard, S. Rao, M. Reade, N. Rushworth, S. Zalstein On behalf of the Australian Trauma Quality Improvement Program (AusTQIP) collaboration

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An analysis of 30-Day in-Hospital Trauma Mortality in four urban hospitals using the Australia India Trauma Registry

World Journal of Surgery. 2020; 40: 1299-307

Bhandarkar P, Patil P, Dev Soni K, O’Reilly GM, Dharap S, Mathew J…on behalf of Australia-India Trauma Systems Collaboration