• Ian Civil, Siobhan Isles, Alaina Campbell, and James Moore.
• Department of Surgery, University of Auckland and National Trauma Network, Wellington, New Zealand. Ian.Civil@majortrauma.nz.
• Eur J Trauma Emerg Surg. 2023 Aug 1; 49 (4): 161316171613-1617.

PurposeTrauma registries are essential tools for trauma systems and underpin any quality improvement activities. This paper describes the history, function, challenges, and future goals of the New Zealand National Trauma Registry (NZTR).MethodsUsing the available publications and knowledge of the authors, the development, governance, oversight, and usage of the registry is outlined.ResultsThe New Zealand Trauma Network has run a national trauma registry since 2015 and this now contains over fifteen thousand major trauma patient records. Annual reports and a range of research outputs have been published. Key quality improvement initiatives have been undertaken and are described. Vulnerabilities include lack of longterm funding and a small workforce.ConclusionsThe NZTR has proven to be a critical component of trauma quality improvement in New Zealand. A user-friendly portal and a simple minimum dataset have been keys to successes but maintenance of an effective structure in a constrained healthcare system is a challenge.© 2023. The Author(s).

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