Table 3 Barriers and challenges in the implementation of registry and follow-ups

Recruitment

Research team was stationed in ED to recruit the patients. However, most trauma patients got discharged after first aid, preventing long-term follow-up. Secondly, difficulty tracing patient movement post-admission.

We repositioned the research team to the wards, where all admitted patients were enrolled in the study.

Patient capture

The patients admitted on Sundays and public holidays may not be captured.

The data collector will attempt to enroll those patients on the next working day.

Limitations of Medical Records

The medical records lack information for some variables, such as socio-demographics, pre-hospital care, and injury details.

This information will be obtained from the patients or their caregivers during interviews.

Electronic entry and completion

Digital data entry depends on the availability of a reliable internet connection, and sometimes the RedCap server may not respond due to electricity or internet issues.

When the RedCap is not working, the research team collects data on hard copies.

Follow-ups

The medical records often lack contact numbers. Additionally, the patients’ attendants are sometimes neighbors or friends who are not directly involved in the patients’ care.

We take more than one contact numbers to overcome these issues.