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: Appoint roles and responsibilities for who collects specific portions of information. For example, the physician may fill the initial assessment and the nurse completes the form at discharge. Have senior personnel who oversees compliance, completeness, and quality control of the paper forms.
Inconsistent data uploads.	– Develop a system for data transcription and upload: If there are pre-existing data management personnel, they should be assigned the task of uploading data from the paper form onto the electronic database. If this role does not exist, keep all the paper forms together in a predetermined place and have a rotating system for staff to transcribe and upload the data, either per patient or once a week, to share the workload associated with uploading. Have senior personnel who supervise upload process.
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.