Published Reports The Trauma Audit & Research Network (TARN)

1. Published Reports The Trauma Audit & ResearchNetwork (TARN)

2. TARN Reports • Clinical reports • Viewable any logged in user • Performance comparisons • (England & Wales Only) • Viewable by all

3. Clinical Reports • Published 3 times a year, at end of: • March: Thoracic & Abdominal • August: 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 • Find in the ‘Reports’ section of the website

4. Executive Summary • One page summary of key findings • Comparisons with National target/average & previous year

5. Themed Best Practice spotlight Highlighting improvements in care Introduction: In 2014 the South West London & Surrey Network published a 5-year strategy to focus care on key areas, one of which was the non-operative management of rib fractures. The aim was to identify patient groups and target processes to improve care in these groups.

6. Case ascertainment & Accreditation Causeway Hospital

7. Peer Hospital comparisons throughout : NI hospitals compared with all other TUs

8. National averages shown for comparison Highlighted in blue throughout

9. Time to CT scan • Now reported in minutes • CT Provisional & Final report times added • National average shown

10. Not recorded within 30 minutes Categorisation of doctor grades National averages shown ST3+ = Consultant , ST3 ,ST4 ,ST5 ,Staff Grade/Speciality, Associate Specialist ,Band 2, Band 3 ,Band 5 ,Band 4, ST6, ST7 ,ST8

11. Age v Injury breakdown Highlighting changing age of trauma population National averages shown

12. English & Welsh Hospitals: Data Reliability Index Y Hospitals X

13. Planned changes VLAD charts • Variable Life Adjusted Display • Highlights upward or downward outcome trends at early stage • Every patient is plotted from left to right on a chart with the line moving up for patients that survive and down for patients that die • The magnitude of the change is determined by the probability of survival (Ps) for each patient

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

15. Reports Overview • Clinical reports three times a year • Ad-hoc analysis available on request at any time

16. National Reports • Severe Injury in Children • Produced every 2 years • Next publication 2020 • Major trauma in older people • Produced every 2 years • Next publication 2019 • Both reports e-book & PDF from website

17. Key messages – Injuries in children • 10% of all children injured are Non accidental injury under 2 years old • Road Traffic Incidents remain most common MOI - ½ children are pedestrians

18. Key messages – Injuries in children • Over 50% children still being treated at Trauma Units • TBI remains leading cause of death followed by drowning and asphyxia

19. Key Points – injuries in older people • Falls < 2 meters commonest MOI in those 60yrs + in contrast to RTA in younger patients • Head Injury greatest cause of death in older people

20. Key Points – injuries in older people • Pre-hospital triage: difficulties in identifying major trauma in older adults. • Lack of early identification means that initial treatment is more likely to be in a TU & undertaken by a more junior doctor

21. 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 • National reports for Children and Older people: Every 2 years

22. And finally • RESEARCH