Published Reports The Trauma Audit & Research Network (TARN) Reporting Session.
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Transcript of Published Reports The Trauma Audit & Research Network (TARN) Reporting Session.
![Page 1: Published Reports The Trauma Audit & Research Network (TARN) Reporting Session.](https://reader034.fdocuments.us/reader034/viewer/2022051418/5697bf721a28abf838c7e78e/html5/thumbnails/1.jpg)
Published Reports
The Trauma Audit & Research Network (TARN)
Reporting Session
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TARN Reports
• Clinical reports
• Performance comparisons
• Major Trauma Dashboards
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Themed Clinical Reports
Published 3 times a year, at end of:
March: Theme: Thoracic & AbdominalJuly: Theme: Orthopaedic & PelvicNovember: Theme: Head & Spinal
Includes submissions Dispatched up to end of previous month Data shown by Financial years: Currently patients Admitted April 13-March 14 & April 14-March 15
• Core section: All patients admitted during time period• Themed section: All patients admitted during time period with relevant injuries
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CORE SECTIONData completeness & accreditation
Without good data completeness & accreditation scores the rest of the report may not reflect true practice
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CORE SECTIONWs/Survival Rate graphs
• Caterpillar plot• Plotted in Ws/Survival Rate order
• Funnel plot• Ordered by precision
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• ISS & mechanism counts• Totals• ISS > 15
• Personnel• Trauma team activation• Mode of transport
• GCS < 9 only• Time to intubation
ISS & Mechanism Pre-hospital Intubation of GCS < 9
CORE SECTION
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Most senior doctor
• Direct admissions only• 5 minutes• 30 minutes• In the ED• Different patient categories
• Direct admissions only• Median time to CT / operation• Different patient categories
Time to CT / operation
CORE SECTION
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Patient pathway
• Thoracotomy outside of theatre• Visited critical care• Head injuries• Transfer summary
• ISS <= 15• ISS > 15• Visited critical care• In critical care
Length of stayCORE SECTION
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Performance Comparisons Updated 3 times a year, at end of: March, July & November
Includes submissions Dispatched up to end of previous month
Data shown by last 4 Calendar years: Currently patients Admitted January 2012-June 2015
Includes: Data completeness Data Accreditation Hospital Survival Rate Ps Breakdown Standards of care results: Head, Spine, Chest and Open fractures
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Performance Comparisons
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Performance Comparisons
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Trauma Dashboards
• Major Trauma DashboardLaunched July 2012
• Children’s Major Trauma DashboardLaunched July 2015
• Trauma Unit DashboardTo be launched Autumn 2015
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Dashboard documentation
Trauma Unit Dashboard Support document: Each measure explained
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Dashboard documentation
Amendments spreadsheet: Which MUST be used to submit any changes List of all patients included in each measure
Non compliance highlighted in red
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Dashboard format Caterpillar plot
Bullet chart
Run chart
Data displayed in 3 formats: Caterpillar plot Bullet Chart Run Chart
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Caterpillar plot
Comparing all similar Trusts (MTCs or TUs) performance during last quarter
Green marker: Individual Trust figure
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Bullet chart
Comparing your Trust with National average of MTCs or TUs (vertical bar) Grey area: Expected range Green area: Better than expected Red area: Worse than expected
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Run chart
Blue bar: Your Trust performance over last 8 quarters Purple bar: National quarterly average for all MTCs or TUs Red bar: Lower control limit Green bar: Upper control limit
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MT Dashboard example content
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MT Dashboard example content
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MT Dashboard example content
If Numerator <6, numbers not shown as too small for effective comparisons
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MT Dashboard example content
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Exact TU Dashboard measures being finalised
MT Dashboard example content
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Major Trauma Dashboards: Timescales
Initial Dashboard Emailed to Trust & Network leads Validation period: amendments submitted Validated Dashboard published
Similar publishing pattern for TU Dashboard
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Children’s Major Trauma Dashboard
Developed by TARNLet committee
Benchmarking between Children’s MTCs & Adult/Children combined MTCs
Age <16 years at time of incident
12 Key Performance Measures, divided into 3 groups: 1. Data quality: 2. Evidence based Measures: NICE, BOAST, TXA
3. System indicators: Consultant led Trauma teams, Time to CT
Bi-annual or Rolling year data used: Published half yearly
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Children’s Major Trauma Dashboard: Timescales
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Children’s MT Dashboard: new measures
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Trauma Unit Dashboards
Developed by MT Clinical Reference Group In conjunction with TU Working Party
Benchmarking between English Trauma Units
All ages included
Key Performance Measures, divided into 3 groups: 1. Data quality: Accreditation & Completeness2. Evidence based Measures3. System indicators
Quarterly data analysed: Published 4 times a year
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Reports Summary
• Clinical reports 3 times a year
• Dashboards quarterly/half yearly
• Performance comparisons refreshed 3 times a year
• Bespoke analysis available on request