ndau database
DESCRIPTION
NDAU Database. Yevgeniy (Eugene) Statnikov NDAU Data Manager. Data Capture. Neonatal.Net. THANK YOU!. Overview. Data Capture on Neonatal Unit: Neonatal.Net. Storage: Clevermed Server. Transfer to NDAU: NHS Connection. Extraction: Clevermed. Reporting: NDAU/NNAP. Receive Data: - PowerPoint PPT PresentationTRANSCRIPT
NDAU Database
Yevgeniy (Eugene) Statnikov
NDAU Data Manager
Data Capture
Neonatal.Net
THANK YOU!
Receive Data: NHS
Server at NDAU
Review Data: NDAU
Transfer to NDAU:NHS Connection
Extraction: Clevermed
Storage: Clevermed
Server
Overview
Data Capture on Neonatal Unit: Neonatal.Net
Reporting: NDAU/NNAP
Create Database:
NDAU Database
Data Capture
Neonatal.Net
Static items – recorded once (1st admission)• Name, NHS number, gestational age, birthweight
Episodic items – recorded at each episode of care• Admission and discharge time, infection, diagnoses
Daily items – recorded at each day of care• Enteral feeding today, respiratory care today
Storage
Securely uploaded and held on NHS Server (Clevermed, Ltd)
Data are truly ‘raw’
NHS Server
Extraction
Information for neonatal units with
Caldicott Guardian permission only
All patient identifiers removed• No names or addresses given• NHS numbers encrypted• All dates (including date of birth) converted into
minutes
Clevermed
Transfer
Data encrypted
Transferred via NHS connection
Data received and held on NHS server at NDAU
NHS Connection
Review Data
Examine the data
Completeness• Gestational age for all babies• Infection form: Sample recorded as taken but
no pathogen results recorded thereafter
Dataset
Incomplete data entryNNAP AUDIT
Create NDAU Database
Assign numeric equivalents to frequently occurring free text items • Enteral feeding: (Formula name) → ‘Formula’
Assign numeric equivalents to string items • Gender: ‘Female’ → ‘0’ / ‘Male’ → ’1’
Remove duplicate items• If Admission Time of Episode 2 is before Discharge Time of
Episode 1 then all days of care in Episode 1 will be duplicated in Episode 2
NDAU Database
Inaccurate time entry
Create NDAU Database
Neonatal.Net
Static items – recorded once (1st admission)• Name, NHS number, gestational age, birthweight
Episodic items – recorded at each episode of care• Admission and discharge time, infection, diagnoses
Daily items – recorded at each day of care• Enteral feeding today, respiratory care today
Create NDAU Database
Link static data items to episodic and daily items to create a dataset
Derive variables• ROP data for NNAP Episodic available in the following
Neonatal.Net forms : Daily-details form, Ad-hoc ROP form, Discharge summary, Clinical summary of stay
• Infection data for NNAP Episodic available in the following Neonatal.Net forms: Daily-details form, Ad-hoc Infection form, Discharge summary, Clinical summary of stay
Data entered in multiple locationsNNAP AUDIT ITEMS
Deriving data items: ROP
Ad hoc ROP form
Daily details
Clinical summary of stay
Discharge diagnosis, Principal diagnosis
NNAP
Deriving ROP
Ad hoc ROP form
Daily details
Reporting: Index of Multiple Deprivation
Reporting: Breast Feeding by Network of Booking
Summary
Thank you for data submission
Help improve neonatal care and baby outcomes through audit
Audit requires high quality data• Completeness• Accuracy
Raw data• Daily clinical records
Acknowledgements
All neonatal units contributing to the NDAU
NDAU Team
NDAU Steering BoardJane Abbott (BLISS) Jacquie Kemp
Prof. Peter Brocklehurst Prof. Azeem Majeed
Prof. Kate Costeloe Prof. Neena Modi
Prof. Liz Draper Prof. Andrew Wilkinson
Imperial College London Academic Neonatal Medicine Unit
Reporting: Completeness of BAPM Data Items
AdmitUnitCode (BAPM-Item 1 Name of Hospital) DeprivationScore (Derived from BAPM-Item 3 Postcode of mother’s residence at time of birth) IntendedPlaceofDelivery (BAPM-Item 4:Planned place of delivery at booking) PlaceofBirth (BAPM – Item 5 Place of Birth) AnonPatientId (Derived from BAPM-Item 6 Baby’s NHS Number) AdmitFromUnitCode (BAPM – Item 9: Source of admission to unit) AdmissionMonth/AdmissionTime (BAPM – Item’s 10 and 11 Date and Time of Admission) Birthweight (BAPM Item 12) GAWeeks (BAPM Item 13: best estimate of gestational age at delivery) Gender (BAPM Item 14) MultipleTotal ( BAPM Item 15: Number of fetuses) MultipleIndicator (BAPM Item 16: Birth Order) SteroidsGiven (BAPM Item 17: Antenatal steroids) DischargeTime (BAPM Item 18) DischargeStatus (BAPM Item 20: Discharge or Transfer destination) ChestDrain/Tracheostomy (BAPM Item 27: Air leak requiring drainage) ROPSurgery (BAPM Item 29: Therapy for retinopathy of prematurity) VPShunt (BAPM Item 32: Surgical procedures as a result of post haemorrhagic hydrocephalus) PDASurgery (BAPM Item 33: Surgery for PDA) NECSurgery (BAPM Item 34: Surgery for NEC) RespiratorySupport (BAPM Item 35: Days when an endotracheal tube is in situ/ Item 36: Days on CPAP) CareLevel (BAPM Item 38: Number of IC days/Item 39: Number of HDC days/Item 40: Number of special care
days)
Data entered in multiple locations: NEC
Suspected NEC form
Daily details
Clinical summary of stay
Discharge diagnosis, Principal diagnosis