Online Reporting The Trauma Audit & Research Network (TARN)

Accessing Reports To produce a report: Log into www.tarn.ac.uk Audit tab Select category Select report Select Hospital Choose Dates Generate Report Click on blue hyperlink to open Option to ‘Add to Favourites’

Report Categories CORE REPORTS BEST PRACTICE TARIFF REPORTS Available to all BEST PRACTICE TARIFF REPORTS Available to Major Trauma Centres HES/PEDW FEEDBACK DATA: Improving Data Completeness Available to English & Welsh Trusts NETWORK REPORTS Available to Network leads

Core Reports Data Quality BOAST4 Performance Review Indicators Available to all Data Quality BOAST4 Performance Review Indicators Unmatched transfers report

Data Quality Report Includes Approved cases only Breakdown of fields used in Data Accreditation %: GCS Arrival time Transfer details Operation CT Doctors in ED Injuries: % of Not Further specified codes (NFS) Pre Existing Medical Conditions Transfer detail Pupils: AIS3+ Head injuries Missing data is highlighted in Red Case ascertainment % now also shown in this report

Interpreting the Data Quality report! Shows all fields contributing to Accreditation % Accreditation is shown as: E=expected value and S=score for each field Score is a fraction of expected value & should be interpreted as a percentage, e.g. 0.5 = 50%. Score of 1.00 represents 100% (complete data) for that field (shown in green) Score of 0.00 represents no expected data for that field (e.g. If Patient did not have a CT scan). Score of <100% will be highlighted in red. THESE ARE THE FIELDS TO REVIEW.

BOAST 4 Includes Approved cases only Severe Open tibia fractures Further classified as Gustilo grade IIIB or IIIC (or ungraded) Standard: Stabilisation within 24 hrs & soft tissue cover within 72 hrs of injury. Report shows compliance with standard

Unmatched Transfers All unmatched transfers Dispatched, Re-dispatched or Approved >30 days since dispatch Transfer in or out When matching submission linked: case disappears from report

HES/PEDW Feedback data Available to English & Welsh Trusts HES: Hospital Episode statistics database PEDW: Patient Episode Database Wales Validation report: Improve case ascertainment

Performance Review Indicators Includes Approved cases only Highlights Key Performance Measures that underpin TARN reports Submission ID NHS number Age Gender Injury Mechanism ISS & ISS band Intubation GCS Probability of Survival Outcome Incident date/time Arrival date/time Discharge date LOS ICU LOS Transfer from/to Mode of arrival ED visit Trauma Team Senior Dr in ED Date/Time First Dr in ED Date/Time No of Operations Date/time 1st Operation Time to 1st Operation Date/Time 1st CT Time to 1st CT Incident & Home postcodes Triage Tool Pre Alert PRF Wards visited (first 3) NICE criteria Shocked Patient Rehab Prescription GOS Case for Review Most severely injured body region Maximum AIS All Injuries

Analysing your own data using PRI Report Create a PRI report List specific patients e.g. AIS3+ Head injuries CT within 1 hour ISS 16 – 75 who saw a Consultant PS 75% or higher who died Produce a breakdown

Best Practice Tariff Reports Available to Major Trauma Centres : Includes Approved cases only BPT 14-17 BPT Awaiting PM

BPT 14-17 Showing submissions Approved by TARN with an ISS>8 Users can cross check fields that may affect BPT payment RED highlights information currently resulting in no BPT payment. YELLOW alerts a user to information that is affecting BPT payment level. BPT Awaiting PM Lists submissions where Post mortem is outstanding: potentially eligible for BPT.

Available to Network leads : Includes Approved cases only Network Reports Available to Network leads : Includes Approved cases only Transfer within 48hrs ISS>15 not Transferred to MTC

Transfers within 48 hours Time of Repatriations from MTC National Trauma Peer Review target is 48 hrs from referral  

ISS>15 not transferred from TU   Any ISS>15 submission that remained in Trauma Unit Mechanism, ISS and Dates shown

Submission Summary Report Available to all: Includes any submission status Administration report Available via Submissions/Search screen Exports submissions into Excel with patient identifiers Can be produced by hospital but NOT by TARN Used to monitor Submissions in any status

Questions