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Estag Trauma Definitions

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Estag Trauma Definitions Scottish Trauma Audit Group (STAG) Definitions for eSTAG Document Control Document Control Version Field definitions for eSTAG V1.7 Date Issued 05/07/2018 Author(s) AK, LH, LR, VJ Other Related Documents Abbreviated Injury Scale 2005, Update 2008 Comments to Angela Khan Document History Version Date Comment Author(s) V0.01 30/05/2016 1st Draft Created A Khan V0.02 02/11/2016 2nd Draft Created following official handover of L Hunter dataset to IT Developer – formatted document with numbering and field names from dataset.V0.8 V0.03 11/04/2017 3rd draft created, review of definitions, appendices A Khan and final proofing. V0.04 01/05/2017 Changes following PW review of bookmarks A Khan V0.05 Updated during User Acceptance Testing of eSTAG A Khan V0.51 23/10/2017 Version split to contain definitions only and A Khan separate User Manual created. 15/11/2017 Updated VJ/AK A Khan V0.6 16/11/2017 Additional bookmarks added LH L Hunter V0.7 05/12/2017 Updates to definitions following comments from A Khan LACs 11/12/17 Updated (OtherSpec, Patient_stay_after_30days L Hunter MTCCare, achievable etc.) V0.8 19/12/17 Updated following UAT feedback from HD. L Hunter V0.9 22/01/18 Updated to include new blood tests and bookmarks A Khan V1.0 20/02/18 Updated to fix bookmarks and clarify definitions for A Khan psych episode and PROMs V1.1 27/02/18 Extract facility AND data extract definitions A Khan V1.2 05/03/18 Updates to lists and definitions (version not yet in A Khan eSTAG) V1.3 07/06/2018 New updates to definitions and bookmarks. A Khan Additional fields. V1.4 05/07/2018 Updated following UAT. A Khan V1.5 20/08/2019 Updated following Change requests 26 -30, A Khan clarification following discussions at Communication meetings, and the introduction of local and national questions. V1.6 01/02/2020 Changes from 1.5 in highlighted in green. Updates A Khan following Change Requests 31-33. V1.7 16/07/2020 Changes following Change requests 31-34, move A Khan to new Public Health Scotland and some of the suggestions made during recent dataset review (other suggestions require further change request). Updates highlighted in yellow. www.stag.scot.nhs.uk Page 2 of 121 Content Chapter Title 1. Introduction 2. General overview 3. Data Definitions, by tab in eSTAG: Patient Incident Minor Injury Unit (MIU)/Other Pre-hospital Hospital(s) Observations and Blood Tests Imaging Interventions Theatre Injury Score Outcome 4. Key Performance Indicators (KPIs) 5. Exporting facility 6. Data export names 7. Local and national questions (added in Phase 3) Appendix 1 MIU/Other Facilities in Scotland Appendix 2 Hospitals with an Emergency Department (ED) and/or Regional Specialty Appendix 3 Pre Existing Medical Conditions Appendix 4 List of Abbreviations and Glossary of Terms www.stag.scot.nhs.uk Page 3 of 121 Introduction The objective of this document is to ensure that STAG has comprehensive, robust and standardised data. eSTAG has been developed to support the collection of trauma data in order to report on process and outcome measures to help target and support quality improvement for this patient group. One of the key objectives will be to support the introduction and development of the Scottish Trauma Network, by reporting the compliance with the Key Performance Indicators (KPIs) for this network. eSTAG has real time linkage with a subset of Scottish Ambulance Service (SAS) data ensuring that where possible data are only collected once. Standard reports have been produced in Tableau™ and this information is updated daily from data entered into eSTAG the day before ensuring that reports are using current data. There is also the ability for NHS staff to create bespoke reports within eSTAG (see chapter 5). The development of eSTAG and Tableau™ reporting meets strict information governance standards to ensure that General Data Protection Regulation is adhered to. General overview https://apps.nhsnss.scot.nhs.uk/estag/login eSTAG login page https://viz.nhsnss.scot.nhs.uk/ Tableau™ (standard reports) login page https://useraccess.nhsnss.scot.nhs.uk/ User Access System login page (to request access to Tableau reports) Colour coding The data fields that are calculated or derived by eSTAG, following data entry and validation of other fields, are colour coded amber (e.g. age is derived when a full date of birth is recorded and validated). The data fields that are only collected for paediatric patients (age < 16 years on date of attendance) have field names in green text. These will only be editable when the date of birth or age is entered and age is < 16 years. Scottish Ambulance Service (SAS) data will be populated into eSTAG where appropriate. The ‘link’ between eSTAG and the Information Services Divisions (ISD) Corporate Data Warehouse (CDW), can be done once mandatory fields have been recorded and validated. The benefit of this linkage is to ensure that ‘where possible’ data are only collected once. The appropriate information governance processes have been agreed by both ISD and SAS to allow this linkage. www.stag.scot.nhs.uk Page 4 of 121 Field and question types Primary and A primary question determines whether a secondary question(s) needs to be secondary asked therefore it will not be possible to complete a secondary question questions without answering the primary question it relates to (e.g. if a patient’s mechanism of injury was ‘moving vehicle accident’ then you will be asked MVA type and patient position in vehicle whereas if MOI is a ‘fall’ then these questions will be greyed out as they are not applicable). Date field Enter a date in either of the following formats: • (DDMMYYYY); or • Click on the calendar to record the date. If the date is not recorded, then click on the box ‘not recorded’. Time field Enter the time in the following format: (HHMM). If a date is not recorded, then the time field will grey out. If the time is not recorded, then click on the box ‘not recorded’. Notes: Midnight (00.00) is not allowed. If the patient attended at exactly 00.00, please record the time as 00.01 ensuring you enter the correct date. Please note that a ‘not recorded’ time will show as midnight in any data extract. This time has been excluded from any STAG analysis and should be excluded from any bespoke analysis carried out. Please speak with a member of the STAG team if you need further clarification. Drop down This is a pre-set list where one choice should be made. list Select the down arrow button to show the list. A scroll button may be available when a list has many options. For long lists it may be easier to type the first letter of the option you require (e.g. typing O in the specialty list will take you to the first option with an O, in this case Ophthalmology). Once the choice has been made, the list will close and the option will show in the box. There will be an option at the top of the list which looks “empty” and this will clear the choice made, if entered in error. These lists will be maintained by the STAG central team so please contact us if you think a list needs updated. Tick These are used to: selection • Confirm that the information is not recorded; and box • Choose multiple answers to one question (e.g. additional information) Click on the box to insert a tick and click again to remove the tick if clicked in error. Auto Some fields will auto populate if certain criteria are met e.g. if a patient is population admitted to HDU from ED then ‘HDU stay’ will auto populate = yes on the outcome tab. www.stag.scot.nhs.uk Page 5 of 121 General definitions Patient ID A Patient ID and Episode ID will be allocated by eSTAG. Each Patient ID will and Episode be unique and each Episode ID will be unique within the national database. ID STAG This information will be derived once the following information has been Number entered: (StagNo) 1. First hospital (name) 2. Year of arrival in ED or year of admission to first hospital (if the patient did not attend ED) The number consists of a short code for the first receiving hospital (with an ED), and then the year of arrival followed by a 5 digit unique number e.g. AYR1701010. First hospital The First hospital is the first hospital the patient attends with an Emergency Department (ED); even if they do not attend the ED. Hospitals without an ED are referred to as a Minor Injury Unit (MIU)/other within this database. MIU/Other Sites including MIUs, small hospitals and health centres in rural areas that carry out ED related activity and are GP or nurse led. They may or may not be open 24 hours. See the link below for more details: NHS Scotland Accident and Emergency sites Please see Appendix one for a list of all hospitals or health centres classified as a MIU or other facility. Functions on home page Search The search function is split into ‘patient ID data’ on the left hand side of the screen and ‘episode ID’ data on the right hand side of the screen. If you want to view all records for your hospital, click on ‘search patients’. To narrow the search: • Click on relevant option(s) and then ‘Search patients’ at the bottom or top of this page to list all the records that meet the criteria.
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