Data Entry:
System structure
The Trauma Audit & Research Network (TARN)
Data Collection session
Log into:
https://www.tarn.ac.uk/Training
Electronic Data Collecting & Reporting system
(EDCR) overview
 Process of care & outcome data relating to eligible Trauma patients
 Secure on-line system (www.tarn.ac.uk):
 Username & password required
 Patient confidentiality paramount:
 Names, Hospital Numbers, Full Postcodes not seen by TARN
 Location based system, following patient pathway: From scene to Discharge
 Choice of datasets: Core or Extended
Submission
Contains all the data relating to a Patient’s incident:

Patient

Incident
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Location
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Outcome

Injuries
Submission Summary screen
 Screen showing current STATUS of all your Hospitals’ submissions
 You can access any submission by clicking on number adjacent to Status
 You can see all submissions created by any User linked to your Hospital
Submission Status

CREATED
 Incomplete submission, data being entered

DISPATCHED
 Complete submission, TARN to check

APPROVED
 Checked & coded by TARN (part of Hospital dataset)

REJECTED*
 Does not fulfil inclusion criteria

RETURNED*
 Additional information requested by TARN

REDISPATCHED*
 Additional information supplied by User

DISPATCHED & FLAGGED

 Flagged awaiting matching Transfer or PM
AWAITING POST MORTEM**  PM to be sent to TARN at later date
(reminder email sent regularly)
Only Approved cases are used in Reports
Searching for submissions
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Use any fields on SEARCH screen. FIND
Results appear at bottom of screen
Access relevant submission by clicking on (12 digit) Submission ID
Click REPORT to convert to Excel
 Example: Hospital: St Elsewhere3
 Admission Dates: 01/05/15-02/05/15
 Status: All
Transfer notification system
 TRANSFER NOTIFICATION: Submission Summary screen
 Shows Missing transfers into/from your Hospital
 Hover over Hospital name to show corresponding site coordinator details
The submission process
User:
 Create New Submission:
 Example: Hospital Holbya
 NHS Number: 9999999999
 Date of Arrival: 10/01/2015
 Time of Arrival: 10.00






Check for duplication
Unique Submission ID generated
Choose Dataset: Core or Extended
Enter & Save data
Validate data
Dispatch
Standard Screens
Core dataset
Extended dataset
Core Dataset

For standard cases
 Most fields Mandatory
 Contains: ALL Fields used in routine analysis and reporting
 Generic screens: Pre Hospital, ED, Critical Care
 Limited Observations & Interventions
Generic Questions
Requested: Pre Hospital, ED and Critical Care
 Dates
 Times
 Observations (Patient’s observed status on arrival in location)
Generic Questions
Requested: Pre Hospital, ED and Critical Care
 Interventions (non surgical procedures given to patient in that location)
 Attendants (Doctors who treated patient in that location)
Core Dataset: Observations & Interventions
Pre-hospital, ED and Critical Care locations
Observations: 1st taken
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Respiratory rate
Oxygen saturation
Blood pressure
Capillary refill
Pulse rate
Glasgow Coma Score*
Pupil reactivity**
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Pupil size
Airway status
Breathing status
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Extubation
Spinal Protection Removal
Embolisation
Interventions:
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•
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Airway support
Breathing support
Blood products in 24hrs
Tranexamic Acid
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Chest drain
Spinal protection
Fluid
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*GCS: Glasgow Coma Score: GCS
 Measure of a patient’s level of consciousness, taken by assessing:

Eye, Verbal and Motor responses.
 Ranges from 15 (normal functioning) to 3 (no responses).
 Reduced GCS is an indication of a possible brain injury.
 Used in the Probability of Survival model
 Record: Pre Hospital, ED & at 1st hospital (Transfers in)
 One of most important fields in EDCR: Part of the Data Accreditation %
Documentation of GCS & Intubation
 Rapid Sequence Intubation (RSI) sometimes performed Pre Hospital
 RSI: sedation & paralysis of a pt prior to Intubation
 GCS3 often documented in ED: THIS SHOULD NOT BE RECORDED
 Users should record in ED:
 Airway Status:
 Breathing Status:
 GCS:
 Resp Rate:
Intubated
Ventilated
No
No
**Pupil Reactivity
 Record: Pre Hospital, ED & Critical Care
 Particularly important: When GCS is <15 or Head injury
 Included in future Probability of Survival model
 One of most important fields in EDCR: Part of the Data Accreditation %
Note: PEARL (Pupils Equal & Reacting to light) Record as BRISK
Specialist screens
BOAST4
Rehabilitation prescriptions
BOAST 4
Guideline derived from BOA & BAPRAS
Severe Open fractures of Tibia

TARN specialist screen used to collect data

Guideline requires:
1. Early identification of severe open fractures of the tibia
2. Joint care from orthopaedic & plastic surgeons
3. Surgical wound debridement & operative fracture stabilisation within 24
hours
4. Definitive soft-tissue cover within 72 hours of injury
Gustilo Anderson Open fracture Classification
Severe Open Tibial fracture: Gustilo Anderson grade IIIB or IIIC
Specialist screen – BOAST 4
BOAST4 screen appears if User answers “Yes” to question on the Opening section:
“Does this patient have severe open lower limb fractures”?
“Did the fracture have surgical
stabilisation” &
“Was definitive soft tissue cover of
injury achieved”
Only answer YES if procedures
performed at your Hospital.
BOAST4
Rehabilitation Prescription
Core Dataset: Outcome Measures screen
Note: This screen auto-populates post Injury Coding by TARN
Users do not enter data into this screen
Validating
 VALIDATE
 Missing Mandatory (red) & Preferred fields (green)
 Mandatory fields must be corrected
 Click here to Dispatch to TARN
View Diary*
 Rejected submissions: Reason for rejection noted by TARN in Diary
 Returned submissions: Additional information requested by TARN in Diary
 Re-dispatched submissions: User should respond to TARN request in Diary &
then Re-dispatch the submission
Awaiting Post Mortem**
 Where selected: User should send Post Mortem to TARN when available
 Particularly important: Deaths in ED
When sending PMs:
 Annonymise
 Include 12 digit submission ID
 Email to: tarn.supportstaff@nhs.net or support@tarn.ac.uk
 Post Mortems shredded by TARN after coding
Extended Dataset
1.
Complex cases
a. Multiple ICU visits
b. Transfers in: bypass ED
2. Or ADDITIONAL data points e.g. Haematology, Blood Gases, Pelvic binder
 All Observations, Interventions & Investigations shown
 Core fields remain Mandatory
 Extended dataset only fields: Not routinely analysed