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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 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.


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.


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).


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.

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:
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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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