Myocardial Ischaemia National Audit Project - University College ...

More documents

Recommendations

Info

32 MINAPPrimary PCIwithin 90minutes ofarrival at HeartAttack CentrePrimary PCIwithin 150minutes ofcalling for helpPrimary PCIwithin 150minutes ofcalling for helpfor patientswith directadmission toHeart AttackCentrePrimary PCIwithin 150minutes ofcalling for helpfor patientstransferred toHeart AttackCentrePrimary PCIwithin 120minutes ofcalling for help% of patientswith directadmission toHeart AttackCentrePrimary PCIwithin 90minutes ofarrival at HeartAttack CentrePrimary PCIwithin 150minutes ofcalling for helpPrimary PCIwithin 150minutes ofcalling for helpfor patientswith directadmission toHeart AttackCentrePrimary PCIwithin 150minutes ofcalling for helpfor patientstransferred toHeart AttackCentrePrimary PCIwithin 120minutes ofcalling for help% of patientswith directadmission toHeart AttackCentreYear 2010/11 2011/12n % n % n % n % n % % n % n % n % n % n % %Worcestershire Royal Hospital,Worcester11 11 10 1 11 93% 75 83% 67 78% 63 76% 4 67 55% 92%Worthing Hospital, Worthing 22 77% 19 19 0 19 100% 24 79% 17 17 0 17 100%Wycombe Hospital, High Wycombe 30 93% 21 90% 21 90% 0 21 86% 100% 60 98% 45 84% 45 84% 0 45 73% 94%Wythenshawe Hospital, Manchester 313 92% 246 73% 179 87% 67 36% 246 46% 63% 467 94% 383 71% 365 77% 57 30% 383 51% 80%Belfast: Overall 160 87% 127 91% 91 89% 36 94% 127 72% 63% 137 89% 104 88% 95 88% 10 104 84% 79%Belfast City Hospital, Belfast 1 0 0 0 0 2 2 1 1 2 67%Royal Victoria Hospital, Belfast 159 87% 127 91% 91 89% 91 89% 127 72% 63% 135 89% 102 88% 94 88% 94 88% 102 83% 79%Wales: Overall 283 68% 224 75% 221 76% 3 224 46% 89% 503 81% 448 78% 397 79% 51 73% 448 59% 86%Glan Clwyd Hospital, Rhyl 4 3 3 3 3 100% 14 11 11 11 11 100%Morriston Hospital, Swansea 190 76% 158 79% 155 81% 155 81% 158 53% 89% 303 83% 282 76% 231 76% 231 76% 282 58% 81%<strong>University</strong> Hospital of Wales, Cardiff 89 52% 63 67% 63 67% 63 67% 63 32% 87% 186 77% 155 83% 155 83% 155 83% 155 63% 93%
“During times of financial constraint thereis a temptation to reduce investment in suchexercises, even though participation in clinicalaudit is mandated by the Department ofHealth and Welsh Government. Conversely, wewould argue that such conditions – a workingenvironment characterised by cost containmentand efficiency – increase, rather than decrease,the need for reliable contemporary knowledge ofhospital performance.”MINAPDr Clive WestonClinical Director of MINAP33
Page 1 and 2: Myocardial IschaemiaNational Audit
Page 3 and 4: Myocardial Ischaemia National Audit
Page 5 and 6: ForewordThe annual MINAP Report, no
Page 7 and 8: Patients who received thrombolytic
Page 9 and 10: considering such factors as the age
Page 11 and 12: egarding previous medical history.
Page 13 and 14: 3. Improving quality,improving outc
Page 15 and 16: is an acute heart failure syndrome
Page 17 and 18: Alan KeysMINAP Steering Group patie
Page 19 and 20: Figure 7. Patients admitted with a
Page 21 and 22: Figure 11. Percentage of patients w
Page 23 and 24: transfers require a significant amo
Page 25 and 26: Table 8 shows the performance of th
Page 27 and 28: This year we report on the interval
Page 29 and 30: Conquest Hospital, St Leonards onSe
Page 31: Royal Derby Hospital, Derby 62 89%
Page 35 and 36: Broomfield Hospital, Chelmsford 0 0
Page 37 and 38: Leighton Hospital, Crewe 43 86% 49
Page 39 and 40: Royal Preston Hospital, Preston 48
Page 41 and 42: Wycombe Hospital, High Wycombe 11 1
Page 43 and 44: “I know that MINAP data has been
Page 45 and 46: Cheltenham General Hospital, Chelte
Page 47 and 48: Manchester Royal Infirmary, Manches
Page 49 and 50: Salford Royal Hospital, Manchester
Page 51 and 52: “MINAP, and its long history, is
Page 53 and 54: Table 6: Ambulance Services in Engl
Page 55 and 56: Bradford Royal Infirmary, Bradford
Page 57 and 58: Hexham General Hospital, Hexham 17
Page 59 and 60: Papworth Hospital, Cambridge 560 99
Page 61 and 62: Salisbury District Hospital, Salisb
Page 63 and 64: West Middlesex University Hospital,
Page 65 and 66: “We have participated in MINAP fr
Page 67 and 68: Dorset Cardiac and Stroke Network 7
Page 69 and 70: “Participation in MINAP has helpe
Page 71 and 72: Blackpool Victoria Hospital, Blackp
Page 73 and 74: Harefield Hospital 139 84% 156 94%
Page 75 and 76: Northern General Hospital, Sheffiel
Page 77 and 78: Royal Victoria Infirmary, Newcastle
Page 79 and 80: Warrington Hospital, Warrington 435
Page 81 and 82: Withybush General Hospital, Haverfo
Page 83 and 84:
Part Three: Case Studies1. Call act
Page 85 and 86:
3. Implementing a high-risk nSTEACS
Page 87 and 88:
The British Heart Foundation is a r
Page 89 and 90:
of six individual criteria - all in
Page 91 and 92:
9. Use of MINAP data to develop and
Page 93 and 94:
Figure 26. Part 2 collected by Card
Page 95 and 96:
12. Shifting the FocusNicola Mannin
Page 97 and 98:
Figure 29. Funnel plot of hospital
Page 99 and 100:
Figure 30. Estimated excess risk of
Page 101 and 102:
Part 6: AppendicesAppendix 1: MINAP
Page 103 and 104:
Coronary thrombosisThe formation of
Page 105 and 106:
Birkhead J, Walker L. MINAP, a proj
Page 107:
Heart attacks recorded in MINAP in
show all

Myocardial Ischaemia National Audit Project - University College ...

Create successful ePaper yourself

Delete template?

Save as template?