Introduction to Criteria Highlights
These highlights are intended to provide clarification to frequently asked questions or recently cited deficiencies. These criteria highlights are applicable to Wisconsin Department of Health Services classified level III and/or level IV trauma care facilities. For suggested future editions, please email DHS Trauma Team.
Criteria 14(i)
Applicable to level III and IV facilities, type 2 deficiency
Criteria: The TCF must have a strategy for monitoring the validity of the data entered into the trauma registry.
Education and Clarification: There is no one specific strategy to validate your registry information. It is suggested to establish a validation plan to ensure continuity.
Utilize reports from ImageTrend Patient Registry to guide your re-abstractions and quality of data through pre-made reports, including:
- Data feedback report
- Cases with low validity created more than 1 month ago
- Percentage of completed records with 90% validity
- Demographic report – data completeness (for multiple data elements)
Re-abstraction of records:
- Re-abstract 5–10 percent of patient records.
- If available, a different staff member than the incident creator should review the abstractions. This can be the trauma medical director, trauma program manager, trauma registrar, or other trauma program staff.
- If no other staff member is available, wait 6 months after record is complete to re-abstract.
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