Published Reports The Trauma Audit & Research Network (TARN)

TARN Reports Clinical reports Trauma Dashboards Viewable any logged in user * Revisions made July 17: Ongoing Trauma Dashboards Uploaded onto website Performance comparisons Viewable by all

Themed Clinical Reports Published 3 times a year, at end of: March: Thoracic & Abdominal July: Orthopaedic & Pelvic November: Head & Spinal Includes submissions Dispatched up to end of previous month Data shown by Financial years Core section: All patients admitted during time period Themed section: All patients admitted during time period with relevant injuries Hospital level report: Uploaded into website, viewable by site only Network level report: Emailed to Network leads

NEW: Executive Summary Hospital level report * Added July 2017 One page summary highlighting Key findings of the report. Comparison with targets & previous year

NEW: Executive Summary * Added July 2017

NEW: Executive Summary: Best practice spotlight * Added July 2017

Case ascertainment & Accreditation * Revised July 17 Expected no. of cases now shown

Comparative outcome analysis (Ws): Trauma Units only * Revised July 17: MTC compared to MTC TU compared to TU

Comparative outcome analysis (Ws): Major Trauma Centres only * Revised July 17: MTC compared to MTC TU compared to TU

Comparison of all hospitals in a Network

* Revised July 17: Times shown in mins rather than hours Report times added

* Revised July 17: Shows % compliance with measure (in blue) Reflects Dashboard

Clinical Report Appendix List of all included cases is available from TARN Excel format: Filtering Submission link available when logged into website.

Trauma Dashboards Benchmarking between comparable hospitals Major Trauma Centre Dashboard Launched July 2012 Developed by MTC Clinical Reference Group Children’s Major Trauma Centre Dashboard Launched July 2015 Developed by TARNLet Trauma Unit Dashboard Launched September 2015 Developed by Trauma Unit Working Party

Trauma Dashboards Key Performance Measures, divided into 3 groups: Data quality Evidence based Measures: NICE, BOAST, TXA 3. System indicators: Consultant led Trauma teams, Time to CT Quarterly data analysed for MTCs/TUs Bi-annual for Children’s MTCs

Dashboard documentation Support document: Each measure explained

Dashboard documentation Amendments spreadsheet: Which MUST be used to submit any changes List of all Non Compliant patients for each measure: Amber: Missing data Red: Data entered that does not fulfil criteria

Dashboard format Data displayed in 3 formats: Caterpillar plot Run chart Bullet chart Data displayed in 3 formats: Caterpillar plot Bullet Chart Run Chart

Caterpillar plot Blue markers: All comparable hospitals’ performance during last quarter Green marker: Individual Hospital figure

Bullet chart Comparing individual Hospital with National average (vertical bar) Grey area: Expected range Green area: Better than expected Red area: Worse than expected

Run chart Blue bar: Individual TU performance over last 8 quarters Purple bar: National quarterly average for all Trauma Units Red bar: Lower control limit Green bar: Upper control limit Statistically performance should fall between these lines

TU Dashboard measures Case Ascertainment shown as either range average: e.g. 70-90% shown as 80% or Validated figure MTC 2b: 25 day target

MTC: Additional BOAST4 measure MTC: Consultant on arrival (within 5 mins) for ISS>15

MTC: Consultant led Trauma team on arrival (within 5 mins)

MTC: CT within 30 mins or arrival

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 2013-to date Includes: Case ascertainment Data Accreditation Hospital Survival Rate Ps Breakdown Standards of care results: Head, Spine, Chest and Open fractures

Reports Overview Clinical reports three times a year Dashboards quarterly/half yearly (cMTC) Performance comparisons refreshed three times a year Ad-hoc analysis available on request at any time