The trauma registry is an important management tool that contains detailed, reliable, and readily accessible information needed to support a trauma center. The information provided by the trauma registry is only as valid as the data entered. Strategies to ensure reliable and valid data should be in place for the Level I trauma center. The data validity strategy utilized will be re-abstraction a minimum of 5% of the monthly volume of cases. Ongoing evaluation and assessment of the validity reports will show the accuracy of the data in the registry and help with ongoing improvements within the registry processes.
Registry data pointsto be re-extracted are:
- Date of Birth
- Medical Record Number
- Zip code
- Level of Activation
- ICD-9 coding
- AIS coding
- Additional data points can be added as needed for quarterly or specific tracking projects
Process by which they are reviewed:
- A random selection of minimally 5% of patients will be made by the Trauma Program Manager or designee
- Each Trauma Registrar will be assigned the validation cases, in conjunction with their weekly assignments.
- The Trauma registrar will utilize Validation Base to abstract the case based on the previously mentioned data points.
- The registrar will include validation cases on their weekly productivity report.
- The Trauma Program Manager can utilize Validation Base to run validity reports.
- One option to review total % of accuracy, would be:
- The total number of data points will be multiplied by the total number of patients to be reviewed (for example, 11 data points x 4 patients = 44 possible data points)
- The total number of correct data points will be divided by the number of possible to identify our % accuracy (for example, 40 divided by 44 would = 91% accuracy)
- This % each month will be tracked and monitored to ensure we are achieving greater than or equal to 90% accuracy each month
- Other strategies through Validation Base can be utilized to show validity.
- In addition, TQIP has validation processes that can be utilized to enhance your registry data.
- The validation studies will be shared with Trauma Leadership, Trauma Ops Committee and ultimately with the Trauma Registrars for learning and development.
References: American College of Surgeons Committee on Trauma. Resources for the Optimal Care of the Injured Patient: 2014. Chicago, IL, American College of Surgeons, 2014