1. Published Reports The Trauma Audit & Research Network (TARN)

2. 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

3. 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: ed to Network leads

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

5. NEW: Executive Summary
* Added July 2017

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

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

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

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

10. Comparison of all hospitals in a Network

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

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

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

19. 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

20. 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

21. Dashboard documentation
Support document: Each measure explained

22. 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

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

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

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

26. 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

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

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

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

31. MTC: CT within 30 mins or arrival

32. 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

33. 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