218 The pilot implementation of the who clinical registry for emergency care

<h3>Background</h3> The WHO Clinical Registry is a platform for collecting, aggregating, and analysing case-based clinical care encounters, developed in response to country needs and to support systematic quality improvement. The emergency care module uses the WHO Dataset for Emergency Care, a minimum set of recommended data elements for emergency care presentations developed through global consensus. This module was recently piloted in collaboration with the International Federation for Emergency Medicine (IFEM) . <h3>Objective</h3> The aim of this Project was to pilot the implementation of the WHO Clinical Registry - Emergency Care module and to evaluate its usability and acceptability. <h3>Methodology</h3> The emergency care module was implemented at seven sites, and we conducted Focus Group Discussions (FGDs), structured to gather comprehensive insights from participants and responses were coded for thematic analysis. FGDs looked at: understanding the Registry, perceived value, facilitators and barriers for sustainable implementation, lessons learned, and resources required. The approach aimed to create an interactive and open environment in which participants could share their perspectives. <h3>Outcomes and Learnings</h3> The FGDs were able to create a structured yet open forum for participants to express their views, share experiences, and contribute to the evaluation of the implementation. The study leads gained a holistic understanding of participants’ perspectives, allowing for the identification of key themes and insights that can inform the roll out of the Clinical Registry. <h3>Implications</h3> The results of the pilot will be used to improve implementation, address barriers identified and increase effectiveness of the Clinical Registry, ensuring alignment with user needs. This iterative process of learning and refining will facilitate the improvement of the registry’s functionality, making it more user-friendly, straightforward to implement, and sustainable over time. <h3>Conclusions</h3> The emergency care module pilot study laid the foundation for refining the registry to better meet user needs and increase overall effectiveness. The improved version will facilitate for a more impactful implementation in diverse emergency care settings.