Background: The exponential development of the Internet and mobile phone technology has led clinicians to interact with a more informed patient population with higher expectations. Health care providers on the other hand are under duress to deliver quality care within their financial constraints. Trauma registries are an integral component of a comprehensive trauma care system. They are used for research, education, performance improvement, and patient and public involvement (PPI). Hand trauma registries with patient and therapy outcomes are virtually nonexistent. There is a critical need for a bespoke system that addresses the current issues, multilingual, and resilient to future developments. Materials and Methods: We have collaborated with several key stake holders in the field of hand trauma and designed a Hand Trauma Registry that can be easily customizable and used across various parts of the world. We have chosen PostgreSQL, which is the world’s most advanced open source database for our design. The chosen platform for the front-end framework is Bootstrap, which has a fluid grid layout that dynamically achieves responsiveness. The registry incorporates all popular patient-related outcome measures (PROMs) with a provision to add multiple customizable PROMs. Results: The registry is a collective database of traumatic injury event as well as their outcome measures. This allows us to compare against multiple data sets: different clinicians, institutions, patient population, and national and international standards. Conclusion: To address the demands of the 21st-century patients, we have designed and developed a bespoke system that is both redundant and resilient. This is an invaluable tool for improving outcomes for patients and the international health care community as a whole.
