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Welcome
The Trauma Audit & Research Network (TARN)
Foundation course
TARN
Background
Largest European Trauma registry: >800,0000 injured patients with >50,000 injured children
Review and monitor process of care & outcome
Report to Trusts & Commissioners
Inform changes in practice: Improve Trauma Care
100% membership in England, Wales, ROI and Northern Ireland
220 Hospitals submitting data
Clinically led (BOARD and Executive committees), Academic, Independent
TARN
The beginning
1988: Report by RCS: The Management of patients with Major Injuries
“Serious deficiencies in the management of severely injured patients” Enhancing pre-hospital care, ensuring appropriate medical intervention Rapid transfer to the best local facility Assessing the use of helicopters Adopting ATLS principles Integrating trauma services within and between hospitals Investing in rehabilitation services
System of Auditing & Research
TARN Established in 1990
Based Salford Royal Hospital
TARN
Major Trauma Network development
Public Accounts Committees March 2010Chief Executive of NHS on public record as ......
Committing to development of Major Trauma Networks across England by end of 2011/12
Mandating TARN membership
Most Major Trauma Networks “live” April 2012
TARN
TARN
What has changed
On scene patient triage: Positive
Direct to MTC (< 45 mins travel)
Indirect Transfer(>45 mins, time critical intervention)
MAJOR TRAUMA CENTREConsultant led trauma teamImmediate operating theatreAll specialties: neurosciencesImmediate CT scanInterventional radiologySpecialist critical care
Trauma UnitTrauma teamImmediate CT Resuscitate, Assess & ? Transfer
TARNTARN
Web-based Trauma Data Collection
Electronic data collection & reporting system Secure on-line system through patient pathway Data Collection AND Reporting TARN
TARN Reports
Separate Reporting & Data Validation Training session
Quarterly for MTC and Trauma UnitsBiannual for CMTCs
We plan to share Dashboard & Clinical reports through TARN Analytics from early 2021- You will require a separate TARN Analytics account for access
TARN
Resources
We have a variety of resources available to assist our users
NEW Sharing Expertise:Resources shared by member hospitals
Sign UpTARN
Trauma DashboardsBenchmarking between comparable hospitals
Major Trauma Centre Dashboard
Developed by MTC Clinical Reference Group
Children’s Major Trauma Centre Dashboard
Developed by TARNLet
Trauma Unit Dashboard
Developed by Trauma Unit Working Party
TARN
• From April 2020 no Dashboard amendments will be accepted.
• Dashboards published from April 2020 onwards will be final, therefore the onus will be on the Hospitals to ensure their data is complete prior to dispatch to TARN.
• This decision is fully supported by the TARN Executive Committee and brings TARN into line with other National Audits who do not offer a validation period for reporting.
• If any Hospital wishes to discuss setting up an internal validation process to ensure their data is of the highest quality prior to dispatch, we are more than happy to help with this.
Dashboards April 2020
TARN
Dashboard timescales: April 2020 Onwards
TARN
The 2020 TARN databaseTARN
TARN figures: 2020: Gender breakdown
46% 54%TARN
TARN figures: 2020: Median Length of Stay
8 days
TARN
TARN figures: 2020: Age breakdown
<16 16-35 35-65 65-80 >80
4% 33% 11% 30% 22%
TARN
TARN figures: 2020: Mechanism of injury
Vehicle incident
16%
Falls <2m65%
Falls >2m10%
Penetrating injury
2%
Blows 5%
Other 2%
TARN
TARN figures: 2020: Most severely injured body regions
Head 24%
Face 1%
Chest18%Abdomen
2%
Spine12% Limbs
33%
Multiple 10%
TARN
TARN figures: 2020: ED Admissions
Accident & Emergency
8% not admitted to ED
TARN
Please feel free to share this poster within your hospital to increase awareness of TARN
TARN
Contact us
Phone-line: 0161 206 4397 Email: [email protected]@nhs.net
Twitter account: @TARNaudit Website: www.tarn.ac.ukFacebook: www.facebook.com/TARNaudit
Newsletter
TARN
