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How NJR data is driving patient safety outlined at recent one-day regional event

Accurate and valid recording of joint replacement operations is critical for patient safety - NJR director of operations

24 October 2017

On 19 October 2017 the National Joint Registry held another one-day educational conference as part of its regional events programme on improving data quality in the registry. The event took place in central London and attracted over 100 hospital staff who work in all sorts of non-surgical orthopaedic related roles.

The busy programme included presentations on the NJR’s ongoing data quality audit, service developments from the registry and also sessions on how the NJR works in practice for patient safety. Additionally, a collection of local case studies concluded the programme and were particularly well received.

Understanding data as a tool for quality improvement is an important part of the ongoing data-driven change that is happening right across the orthopaedic sector. By attending the event, delegates took away skills to demonstrate the highest possible standards of clinical governance that all hospitals strive to achieve. 

NJR data driving greater patient saftey

Elaine Young, director of operations for the NJR, opened the day by outlining how NJR data is driving greater patient safety. Commenting on the event, Elaine said: “All those involved with the NJR are committed to improving the quality of the data to ensure the most robust evidence is available to monitor the performance of implants, the effectiveness of different types of surgery and to improve clinical standards — all with a sharp focus on patient outcomes. Our regional events support this by placing a strong emphasis on local case studies and constructive reflection, allowing the audience to participate in meaningful discussion with the key issues affecting their engagement with the NJR.”

  • Listen to Elaine Young’s presentation on how the NJR is driving greater patient safety here:

The NJR’s Data Quality Audit

NJR data is a fundamental driver to inform improved quality of care for patients. Therefore, it is imperative that the data provides an accurate picture of what is happening locally so that the right decisions are made. To support this, the NJR has rolled out a national programme aimed at assessing data completeness and quality within the registry.  

Known more simply as the Data Quality Audit, the programme, which has recently begun its third year, has allowed the NJR to compare patient record for record procedures recorded in local hospitals’ databases to the registry, with the aim of investigating the accurate number of arthroplasty procedures submitted compared to the number carried out. 

Carol Harrison, NJR Data Quality Service Lead (Northgate Public Services), offered an update to the NJR's data quality audit work and how the registry is supporting hospitals to complete the audit.

  • Want to discuss ways to improve your hospital’s data quality? Then get in touch with the NJR’s Data Quality Team via:

Linked to data quality and patient safety, Anita Cannon, NJR regional coordinator and data anomaly lead, outlined how hospital data entry teams can identify NJR records that appear to be incorrect, and how she is bringing these to the attention of hospital units. This supports the work units are already undertaking to improve the quality of their data submissions. Forming part of this process, Anita monitors units' ‘edit stack’ and records with no traced NHS number. 

Patient Perspective

As part of the programme, NJR Research Sub-committee Chairman, Professor Mark Wilkinson, outlined the NJR's involvement in developing a Patient Decision Aid tool and how it will aid joint replacement patients' pre-operative decision making. 

The patient’s perspective continues to be a key session at all NJR regional events. Sue Musson and Gillian Coward, NJR Steering Committee patient members, delivered a lively presentation which posed the question ‘what do patients want from the NJR?’ Outlining her own experiences, Sue, recounted her journey as a young hip replacement patient and how having access to NJR data, online resources – such as the NJR’s Public and Patient Guide – and other patients’ experiences was an enormous help.

Following lunch, members of the NJR’s Patient Network joined Mark, Gillian and Sue, for a separate feedback session on the Patient Development Aid and for wider NJR patient involvement activites.


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