Myocardial Ischaemia National Audit Project - University College ...

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68 MINAPPatients havingthrombolytictreatment within60 mins ofcalling for helpPatients havingpre-hospitalthrombolytictreatmentPatients havingin-hospitalthrombolytictreatmentPrimary PCIwithin 150 minsof calling forhelpPrimary PCIwithin 120 minsof calling forhelpPatients havingprimary PCIPatients havingthrombolytictreatment within60 mins ofcalling for helpPatients havingpre-hospitalthrombolytictreatmentPatients havingin-hospitalthrombolytictreatmentPrimary PCIwithin 150 minsof calling forhelpPrimary PCIwithin 120 minsof calling forhelpPatients havingprimary PCIYear 2010/11 2011/12n % n % n % n % n % n % n % n % n % n % n % n %Surrey Heart and Stroke Network 43 81% 19 129 32% 201 85% 201 61% 258 64% 1 0 6 213 92% 213 77% 311 98%Sussex Heart and Stroke Network 49 69% 26 5% 108 22% 283 83% 283 59% 348 72% 6 11 16 397 87% 397 67% 458 94%West Yorkshire CardiovascularNetwork24 12% 10 45 4% 823 64% 823 35% 1077 95% 16 1 39 4% 884 66% 884 43% 1035 96%Wales: Overall 398 53% 212 21% 478 48% 224 75% 224 46% 302 30% 313 48% 146 14% 371 36% 448 78% 448 59% 528 51%North Wales Cardiac Network 146 52% 72 29% 170 69% 3 3 6 145 53% 69 28% 161 65% 11 11 16South Wales Cardiac Network 252 54% 140 19% 308 41% 221 76% 221 47% 296 40% 168 43% 77 10% 210 26% 437 78% 437 60% 512 64%Belfast: Overall 1 0 0% 3 2% 127 91% 127 72% 173 98% 1 1 1% 2 1% 104 88% 104 84% 153 98%
“Participation in MINAP has helped to strengthenthe partnerships East Midlands AmbulanceService has with local hospital trusts. This hasbenefited our cardiac patients as working togetherwith the hospitals has helped us to identify areasof care which could be improved.”MINAPDeborah Shaw – Clinical <strong>Audit</strong> and ResearchManagerEast Midlands Ambulance Service69
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Myocardial IschaemiaNational Audit
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Myocardial Ischaemia National Audit
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ForewordThe annual MINAP Report, no
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Patients who received thrombolytic
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considering such factors as the age
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egarding previous medical history.
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3. Improving quality,improving outc
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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 and 32: Royal Derby Hospital, Derby 62 89%
Page 33 and 34: “During times of financial constr
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: Dorset Cardiac and Stroke Network 7
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
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