NJR Alert and Alarm Surgeon Process
Monitoring surgeon performance is a key function of the National Joint Registry (NJR), as part of the ongoing drive for greater transparency within the NHS to continuosuly improve standards and enhance patient safety. The NJR surgeon monitoring process identifies surgeons with revision rates (an indication of implant failure or surgical performance) that are higher than expected and has a clear process to contact these surgeons so that an appropriate review of practice can be taken.
The NJR’s Alert and Alarm Surgeon Process, as part of the Accountability and Transparency Model, now includes an Alert and Alarm (outlier) process. The Alert process will continue to provide robust early warning of issues related to patient safety but importantly also act to prevent surgeons from becoming Alarm (outliers) by alerting them to deteriorating outcomes at an earlier stage. This new approach will correct substandard practice earlier and reduce or eliminate poor outcomes.
Commenting on the change made in 2017 NJR medical director, Mr Martyn Porter, said: “As part of the new model ‘prevention’ is now a key element. Implemented for the first time this year, Alert (borderline) notifications were issued, acting to prevent surgeons from becoming Alarm (outlier) status by alerting them to deteriorating outcomes at an earlier stage and thus enabling them to correct substandard practices and reduce or eliminate poor outcomes.
“This new function will also be extended at the hospital-level and should ensure even greater public confidence in the NJR’s monitoring processes as we aim to reduce or eliminate poor outcomes in joint replacement over time.”
Alert and Alarm Surgeon Process documentation: