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

  • N Mehta (a1), R J Williams (a2), M E Smith (a3), A Hall (a4), J C Hardman (a5), L Cheung (a6), M P Ellis (a7), J M Fussey (a8), R Lakhani (a9), O McLaren (a10), P C Nankivell (a11), N Sharma (a12), W Yeung (a13), S Carrie (a14) and C Hopkins (a9)...
Abstract
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.

Copyright
Corresponding author
Address for correspondence: Mr Nishchay Mehta, evidENT, Ear Institute, University College London, 332 Gray's Inn Rd, London WC1X 8EE, UK E-mail: nishchay.mehta.12@ucl.ac.uk
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1 AC Hall , H Blanchford , P Chatrath , C. Hopkins A multi-centre audit of epistaxis management in England: is there a case for a national review of practice? J Laryngol Otol 2015;129:454–7

2 D Lowe , J van der Meulen , D Cromwell , J Lewsey , L Copley , J Browne Key messages from the National Prospective Tonsillectomy Audit. Laryngoscope 2007;117:717–24

3 NPT. Audit 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;17:264–8

5 ML Nahm , CF Pieper , MM. Cunningham Quantifying data quality for clinical trials using electronic data capture. PLoS One 2008;3:e3049

6 A Le Jeannic , C Quelen , C Alberti , I Durand-Zaleski ; CompaRec Investigators. Comparison of two data collection processes in clinical studies: electronic and paper case report forms. BMC Med Res Methodol 2014;14:7

7 JA. Welker Implementation of electronic data capture systems: barriers and solutions. Contemp Clin Trials 2007;28:329–36

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;130:768–76

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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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