AUDIT
NJR Submission in Orthopaedic Trauma
Guy's and St Thomas' NHS Foundation Trust
2024
Orthopaedics
ratings
Background
External data show GSTT’s trauma arthroplasty submissions to the National Joint Registry lag behind the national average (≈40% compliance), undermining registry accuracy and quality improvement
Aims
To increase on-time NJR submission for all hip and knee trauma arthroplasties at GSTT to at least the national average within the audit cycle.
Objectives
Baseline audit: Review NJR submission status for all trauma arthroplasties over a 3-month period.
Timeliness metric: Measure the percentage submitted within 30 days of surgery.
Barrier analysis: Survey orthopaedic secretarial and surgical staff by month 2 to identify submission obstacles.
System prompt: Implement an automatic EPIC reminder to complete NJR entry by month 3.
Re-audit: Reassess submission rates in month 6, targeting ≥60% on-time compliance .
Keywords
National Joint Registry
NJR compliance
Trauma arthroplasty
Data submission audit
Orthopaedic registry
NJR submission
Clinical governance
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