Can trainees design and deliver a national audit of epistaxis management? A pilot of a secure web-based audit tool and research trainee collaboratives

Research output: Contribution to journalArticlepeer-review


  • N Mehta
  • R J Williams
  • M E Smith
  • A Hall
  • J C Hardman
  • L Cheung
  • M P Ellis
  • J M Fussey
  • R Lakhani
  • O McLaren
  • N Sharma
  • W Yeung
  • S Carrie
  • C Hopkins

External organisations

  • evidENT,Ear Institute, University College London,UK.
  • Institute of Naval Medicine,Gosport,UK.
  • Department of Otolaryngology,Cambridge University Hospitals,London,UK.
  • Department of Otolaryngology,Northwick Park Hospital,London,UK.
  • Department of Otolaryngology,West Middlesex University Hospital,Isleworth,UK.
  • Department of Otolaryngology,Great Western Hospital NHS Trust,Swindon,UK.
  • Department of Otolaryngology,Freeman Hospital,Newcastle upon Tyne,UK.
  • Department of Otolaryngology,Princess Royal Hospital,Telford,UK.
  • Department of Otolaryngology,Guy's and St Thomas' Hospitals,London,UK.
  • Department of Otolaryngology,Torbay and South Devon NHS Foundation Trust,Torquay,UK.
  • Department of Otolaryngology,University Hospital Birmingham,UK.
  • Department of Otolaryngology,Queen's Medical Centre,Nottingham,UK.
  • Department of Otolaryngology,Newcastle upon Tyne Hospitals,UK.


OBJECTIVE: To investigate the feasibility of a national audit of epistaxis management led and delivered by a multi-region trainee collaborative using a web-based interface to capture patient data.

METHODS: Six trainee collaboratives across England nominated one site each and worked together to carry out this pilot. An encrypted data capture tool was adapted and installed within the infrastructure of a university secure server. Site-lead feedback was assessed through questionnaires.

RESULTS: Sixty-three patients with epistaxis were admitted over a two-week period. Site leads reported an average of 5 minutes to complete questionnaires and described the tool as easy to use. Data quality was high, with little missing data. Site-lead feedback showed high satisfaction ratings for the project (mean, 4.83 out of 5).

CONCLUSION: This pilot showed that trainee collaboratives can work together to deliver an audit using an encrypted data capture tool cost-effectively, whilst maintaining the highest levels of data quality.


Original languageEnglish
Pages (from-to)518-522
Number of pages5
JournalThe Journal of laryngology and otology
Issue number6
Early online date23 Mar 2017
Publication statusPublished - Jun 2017


  • Adolescent, Adult, Aged, Aged, 80 and over, Biomedical Research/education, Child, Child, Preschool, Cooperative Behavior, Disease Management, England, Epistaxis/therapy, Feasibility Studies, Female, Formative Feedback, Humans, Internet, Male, Medical Audit/statistics & numerical data, Middle Aged, Pilot Projects, Prospective Studies, Research Personnel/education, Surveys and Questionnaires, Time Factors, Young Adult