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Background: In Tanzania, inadequate infrastructures and shortages of trauma‐response training exacerbate trauma‐related fatalities. McGill University's Centre for Global Surgery introduced the Trauma and Disaster Team Response course (TDTR) to address these challenges. This study assesses the impact of simulation‐based TDTR training on care providers' knowledge/skills and healthcare processes to enhance patient outcomes. Methods: The study used a pre‐post‐interventional design. TDTR, led by Tanzanian instructors at Muhimbili Orthopedic Institute from August 16–18, 2023, involved 22 participants in blended online and in‐person approaches with simulated skills sessions. Validated tools assessed participants' knowledge/skills and teamwork pre/post‐interventions, alongside feedback surveys. Outcome measures included evaluating 24‐h emergency department patient arrival‐to‐care time pre‐/post‐TDTR interventions, analyzed using parametric and non‐parametric tests based on data distributions. Results: Participants' self‐assessment skills significantly improved (median increase from 34 to 58, p < 0.001), along with teamwork (median increase from 44.5 to 87.5, p < 0.003). While 99% of participants expressed satisfaction with TDTR meeting their expectations, 97% were interested in teaching future sessions. The six‐month post‐intervention arrival‐to‐care time significantly decreased from 29 to 13 min, indicating a 55.17% improvement (p < 0.004). The intervention led to fewer ward admissions (35.26% from 51.67%) and more directed to operating theaters (29.83% from 16.85%), suggesting improved patient management (p < 0.018). Conclusion: The study confirmed surgical skills training effectiveness in Tanzanian settings, highlighting TDTR's role in improving teamwork and healthcare processes that enhanced patient outcomes. To sustain progress and empower independent trauma educators, ongoing refresher sessions and expanding TDTR across low‐ and middle‐income countries are recommended to align with global surgery goals. [ABSTRACT FROM AUTHOR]

Background Methods Results Conclusion Trauma significantly impacts Tanzanian healthcare. Lacking standardized hospital‐based minimal trauma data sets places further challenges for policymakers. In other resource‐limited countries, implementing trauma systems and registries has reduced injury mortalities. In 2013, we introduced an electronic trauma registry, iTRAUMATM at the Tanzanian Muhimbili Orthopedic Institute (MOI) but noted several drawbacks. In 2023, we introduced a robust web‐based trauma registry platform. This study assesses the feasibility and utility of implementing the platform at MOI and summarizes challenges, lessons, and results compared to existing systems.This prospective observational study involved clinicians collecting data directly on the platform at the point‐of‐care, following specific training. Semi‐structured interviews with local stakeholders identified challenges and areas for improvement. Data were reported from July to December 2023.Data from 2930 patients showed 59% of injuries were from road traffic collisions (RTCs), with 43% of patients arriving at MOI by non‐ambulances. Our findings show that non‐ambulance arrivals were associated with higher injury severity (p < 0.026), mortalities (p < 0.017), and delayed hospital arrival (p < 0.004), underscoring the critical role of prompt transport in trauma management. The new platform identified trauma care gaps, with a mean arrival‐to‐care time of 29.89 min, prompting trauma training at MOI to enhance clinician capacities. It also demonstrated superiority over existing systems by improving data completeness, timeliness, and usability. Challenges included gaining support for the platform's functionality, technology integration, and navigating administrative changes. With continued communication, stakeholder acceptance and support were achieved.The web‐based platform has become MOI's standard trauma database, demonstrating its feasibility and utility. It overcame the existing challenges of data completeness, timeliness, and usability for policymaking. Positive feedback has prompted plans to expand the platform to other hospitals, benefiting clinical benchmarking and trauma preventive efforts. Ensuring sustainability requires involvement from the Ministry of Health, ongoing training, functionality enhancements, and strengthened global partnerships. [ABSTRACT FROM AUTHOR]