1. Online Reporting The Trauma Audit & Research Network (TARN)

2. 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’

3. 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

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

5. 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

6. 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.

7. 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

8. 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

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

10. 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

11. 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

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

13. 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.

14. 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

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

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

17. 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

18. Questions