Published Reports

The Trauma Audit & Research Network (TARN)

Reporting Session

TARN Reports

• Clinical reports

• Performance comparisons

• Major Trauma Dashboards

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

CORE SECTIONData completeness & accreditation

Without good data completeness & accreditation scores the rest of the report may not reflect true practice

CORE SECTIONWs/Survival Rate graphs

• Caterpillar plot• Plotted in Ws/Survival Rate order

• Funnel plot• Ordered by precision

• 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

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

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

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

Performance Comparisons

Performance Comparisons

Trauma Dashboards

• Major Trauma DashboardLaunched July 2012

• Children’s Major Trauma DashboardLaunched July 2015

• Trauma Unit DashboardTo be launched Autumn 2015

Dashboard documentation

Trauma Unit Dashboard Support document: Each measure explained

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

Dashboard format Caterpillar plot

Bullet chart

Run chart

Data displayed in 3 formats: Caterpillar plot Bullet Chart Run Chart

Caterpillar plot

Comparing all similar Trusts (MTCs or TUs) performance during last quarter

Green marker: Individual Trust figure

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

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

MT Dashboard example content

MT Dashboard example content

MT Dashboard example content

If Numerator <6, numbers not shown as too small for effective comparisons

MT Dashboard example content

Exact TU Dashboard measures being finalised

MT Dashboard example content

Major Trauma Dashboards: Timescales

Initial Dashboard Emailed to Trust & Network leads Validation period: amendments submitted Validated Dashboard published

Similar publishing pattern for TU Dashboard

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

Children’s Major Trauma Dashboard: Timescales

Children’s MT Dashboard: new measures

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

Reports Summary

• Clinical reports 3 times a year

• Dashboards quarterly/half yearly

• Performance comparisons refreshed 3 times a year

• Bespoke analysis available on request