Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-28T06:12:34.132Z Has data issue: false hasContentIssue false
  • English
  • Français

Can trainees design and deliver a national audit of epistaxis management? A pilot of a secure web-based audit tool and research trainee collaboratives

Published online by Cambridge University Press:  23 March 2017

N Mehta ,
R J Williams ,
M E Smith ,
A Hall ,
J C Hardman ,
L Cheung ,
M P Ellis ,
J M Fussey ,
R Lakhani  and
O McLaren
...Show all authors
N Mehta*
Affiliation:
evidENT, Ear Institute, University College London, UK
R J Williams
Affiliation:
Institute of Naval Medicine, Gosport, UK
M E Smith
Affiliation:
Department of Otolaryngology, Cambridge University Hospitals, London, UK
A Hall
Affiliation:
Department of Otolaryngology, Northwick Park Hospital, London, UK
J C Hardman
Affiliation:
Department of Otolaryngology, West Middlesex University Hospital, Isleworth, UK
L Cheung
Affiliation:
Department of Otolaryngology, Great Western Hospital NHS Trust, Swindon, UK
M P Ellis
Affiliation:
Department of Otolaryngology, Freeman Hospital, Newcastle upon Tyne, UK
J M Fussey
Affiliation:
Department of Otolaryngology, Princess Royal Hospital, Telford, UK
R Lakhani
Affiliation:
Department of Otolaryngology, Guy's and St Thomas’ Hospitals, London, UK
O McLaren
Affiliation:
Department of Otolaryngology, Torbay and South Devon NHS Foundation Trust, Torquay, UK
P C Nankivell
Affiliation:
Institute of Cancer and Genomic Sciences, University Hospital Birmingham, UK
N Sharma
Affiliation:
Department of Otolaryngology, University Hospital Birmingham, UK
W Yeung
Affiliation:
Department of Otolaryngology, Queen's Medical Centre, Nottingham, UK
S Carrie
Affiliation:
Department of Otolaryngology, Newcastle upon Tyne Hospitals, UK
C Hopkins
Affiliation:
Department of Otolaryngology, Guy's and St Thomas’ Hospitals, London, UK
*
Address for correspondence: Mr Nishchay Mehta, evidENT, Ear Institute, University College London, 332 Gray's Inn Rd, London WC1X 8EE, UK E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To investigate the feasibility of a national audit of epistaxis management led and delivered by a multi-region trainee collaborative using a web-based interface to capture patient data.

Methods:

Six trainee collaboratives across England nominated one site each and worked together to carry out this pilot. An encrypted data capture tool was adapted and installed within the infrastructure of a university secure server. Site-lead feedback was assessed through questionnaires.

Results:

Sixty-three patients with epistaxis were admitted over a two-week period. Site leads reported an average of 5 minutes to complete questionnaires and described the tool as easy to use. Data quality was high, with little missing data. Site-lead feedback showed high satisfaction ratings for the project (mean, 4.83 out of 5).

Conclusion:

This pilot showed that trainee collaboratives can work together to deliver an audit using an encrypted data capture tool cost-effectively, whilst maintaining the highest levels of data quality.

Keywords

Surveys And QuestionnairesEpistaxis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 6 , June 2017 , pp. 518 - 522
Copyright
Copyright © JLO (1984) Limited 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Hall, AC, Blanchford, H, Chatrath, P, Hopkins, C. A multi-centre audit of epistaxis management in England: is there a case for a national review of practice? J Laryngol Otol 2015;129:454–7CrossRefGoogle Scholar
2 Lowe, D, van der Meulen, J, Cromwell, D, Lewsey, J, Copley, L, Browne, J et al. Key messages from the National Prospective Tonsillectomy Audit. Laryngoscope 2007;117:717–24CrossRefGoogle ScholarPubMed
3 Audit, NPT. Impact of NICE guidance on rates of haemorrhage after tonsillectomy: an evaluation of guidance issued during an ongoing national tonsillectomy audit. Qual Saf Health Care 2008;17:264–8CrossRefGoogle ScholarPubMed
4 Royal College of Surgeons of England. National Prospective Tonsillectomy Audit: Final Report of an Audit carried out in England and Northern Ireland between July 2003 and September 2004. London: Royal College of Surgeons of England, 2005 Google Scholar
5 Nahm, ML, Pieper, CF, Cunningham, MM. Quantifying data quality for clinical trials using electronic data capture. PLoS One 2008;3:e3049 CrossRefGoogle ScholarPubMed
6 Le Jeannic, A, Quelen, C, Alberti, C, Durand-Zaleski, I; CompaRec Investigators. Comparison of two data collection processes in clinical studies: electronic and paper case report forms. BMC Med Res Methodol 2014;14:7 CrossRefGoogle ScholarPubMed
7 Welker, JA. Implementation of electronic data capture systems: barriers and solutions. Contemp Clin Trials 2007;28:329–36CrossRefGoogle ScholarPubMed
8 Gov.uk. £1 billion investment for UK Science and Research. In: https://www.gov.uk/government/news/1-billion-investment-for-uk-science-and-research [4 February 2017]Google Scholar
9 Ham, C, Berwick, D, Dixon, J. Improving Quality in the English NHS: A Strategy for Action. London: The King's Fund, 2016;1–38 Google Scholar
10 ENT Trainee Research Collaborative – West Midlands. National prospective cohort study of peritonsillar abscess management and outcomes: the Multicentre Audit of Quinsies study. J Laryngol Otol 2016;130:768–76CrossRefGoogle Scholar