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 & Abdominal July:Theme: Orthopaedic & Pelvic November: 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 SECTION Data completeness & accreditation Without good data completeness & accreditation scores the rest of the report may not reflect true practice

CORE SECTION Ws/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 & MechanismPre-hospitalIntubation 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 stay CORE 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

Trauma Dashboards Major Trauma Dashboard Launched July 2012 Children’s Major Trauma Dashboard Launched July 2015 Trauma Unit Dashboard To 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

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 ed 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 & Completeness 2.Evidence based Measures 3.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