Major Trauma Audit (MTA)
National Office of Clinical Audit (NOCA).
2013
Aim: The MTA will drive system-wide quality improvement to achieve the best outcomes for trauma patients in Ireland.
MTA objectives can be found at this link: https://www.noca.ie/audits/mta-objectives
Scope:
1. All trauma patients irrespective of age
2. who fulfil one of the following length of stay criteria:
a Direct admissions
- Trauma admissions whose length of stay is 3 days or more
- Trauma patients admitted to a High Dependency Area regardless of length of stay
- Deaths of trauma patients occurring in the hospital including the Emergency Department (even if the cause of death is medical)
- Trauma patients transferred to other hospital for specialist care or for an ICU/HDU bed.
b Patients transferred in who
- Trauma patients transferred into your hospital for specialist care or ICU/HDU bed whose combined hospital stay at both sites is 3 days or more
- Trauma admissions to a ICU/HDU area regardless of length of stay
- Trauma patients who die from their injuries (even if the cause of death is medical).
3. and whose isolated injuries meet the TARN injury criteria.
National- all acute hospitals that receive major trauma (26 hospitals in total).
Coverage is based on discharges within the calendar year for example 1/1/22-31/12/22. The percentage of patients with HIPE episodes with trauma codes (ICS 10-AM S and T codes) that fulfil the length of stay criteria for the MTA. The hospitals can select cases on HIPE from the lists generated for trauma cases and highlight if they are eligible or not eligible and why. Excluded cases are removed from the hospitals denominators at the end of each annual reporting cycle.
The Major Trauma Audit (MTA) will provide a framework for hospitals to collect standardised data on patient injury, care processes and patient outcomes. The National Office of Clinical Audit (NOCA) will provide the frameworks and operational support for the introduction of MTA in Ireland, through participation in the UK Trauma Audit and Research Network (TARN). TARN is based on web-enabled collection of a standardised dataset for patients who are admitted to hospital or die in the Emergency Department (ED) with centralised analysis and benchmarking of data undertaken at TARN based in the Manchester Academic Health Science Centre University of Manchester.
Hospital managers/ CEO’s, hip fracture governance committees, hospital groups, Healthcare Pricing Office (HPO), National Office of Trauma Services.
This data includes: patient demographics, type and cause of injury, injury severity, pre-hospital data, and patient’s hospital journey e.g. time to treatment, length of stay, and outcomes based on mortality.
Yes, available via TARN: www.tarn.ac.uk
No national level identifiers are available.
Age and gender are included.
Hospital-level MTA audit co-ordinators submit data on a web-based data collection and reporting system.
Data is taken from the medical record and electronic patient systems by clinical staff with permitted access and inputted into TARN.
Data can be entered while the patient is an in-patient and completed on discharge. Data entry is requested to be complete within the quarter following discharge from hospital.
A data collection/ reporting calendar with quarterly targets is used each year for the hospitals to align their data entry to.
ICD–10 injury codes (S and T) are used to identify reports for inclusion in MTA.
6000 records expected per annum.
NOCA annual report and quarterly hospital group reports. In 2022 MTA will also be distributing quarterly hospital level dashboard reports.
TARN supply three clinical working reports each year and two dashboard reports.
https://www.noca.ie/about-noca/access-to-audit-data
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