Implementing Agile Auditing: Deciding Your Approach and Your Agile Audit Project Roles

2021 ◽  
pp. 115-136
Keyword(s):  
Audit Project

03 The prehospital 12 lead electrocardiogram is associated with improved outcomes in patients with acute coronary syndromes presenting to emergency medical services: a nationwide linked cohort study

2021 ◽  
Vol 38 (9) ◽  
pp. A2.1-A2
Author(s):  
Tom Quinn ◽  
Timothy Driscoll ◽  
Lucia Gavalova ◽  
Mary Halter ◽  
Chris P Gale ◽  
...  
Keyword(s):  
Cohort Study ◽  
Emergency Medical Services ◽  
Population Based ◽  
Medical Services ◽  
St Segment Elevation ◽  
Coronary Syndrome ◽  
Emergency Medical ◽  
St Segment ◽  
Coronary Syndromes ◽  
Audit Project

BackgroundUse of the Pre-Hospital 12-lead Electrocardiogram (PHECG) is recommended in patients presenting to emergency medical services (EMS) with suspected acute coronary syndrome (ACS).ObjectivesTo investigate differences in mortality between those who did/did not receive PHECG.MethodsPopulation-based, linked cohort study using Myocardial Ischaemia National Audit Project (MINAP) data from 2010-2017.ResultsOf 330,713 patients, 263,420 (79.6%) had PHECG, 67,293 (20.3%) did not. 30-day mortality was 7.8% overall, 7.1% with PHECG vs 10.9% without PHECG (adjusted Odds Ratio [aOR] 0.772, 95% confidence interval [CI] 0.748-0.795, p<0.001). 1 year mortality was 16.1% overall, 14.2% with PHECG vs 23.2% without (aOR 0.692, 95% CI 0.676-0.708, p<0.001). 144,254 patients had ST segment elevation myocardial infarction (STEMI); 130,240 (90.2%) had PHECG, 30 day mortality 8.8% overall, 8.0% with PHECG vs 15.9% without (aOR 0.588, 95% CI 0.557-0.622, p<0.001), 1 year mortality 13.1% overall, 12.1% with PHECG vs 22.8% without (aOR 0.585, 95% CI 0.557-0.614, p<0.001). 186,459 patients had non-STEMI; 133,180 (71.4%) had PHECG. 30-day mortality 7.1% overall, 6.1% with PHECG vs 9.6% without (aOR 0.677, 95%CI 0.652-0.704, p<0.001), 1 year mortality 18.3% overall, 16.3% with PHECG vs 23.3% without (aOR 0.694, 95% CI 0.676-0.713, p<0.001). 110,571 STEMI patients received primary PCI, 103,741 (93.8%) had PHECG. 30 day mortality 5.4% overall, 5.3% with PHECG vs 7.0% without (aOR 0.739, 95% CI 0.667-0.829, p<0.001). 1 year mortality 8.5% overall, 8.4% with PHECG vs 9.8% without (aOR 0.833, 95% CI 0.762-0.911, p<0.001). 26,127 (18.1%) STEMI patients received no reperfusion; 19,873 (76%) had PHECG. Mortality at 30 days 22.1% overall, 21.3% with PHECG vs 24.7% without (aOR 0.911, 95% CI 0.847-0.980, p=0.013), 1 year mortality 32.2% overall, 30.9% with PHECG, 36.4% without (aOR 0.865, 95% CI 0.810-0.925, p<0.001).ConclusionPHECG was associated with lower mortality at 30 days and 1 year in both STEMI and non-STEMI patients.

M1021 Endoscopy Unit Quality Indicators for Colonoscopy: the Canadian Association of Gastroenterology (cag) Endoscopy Quality Initiative (EQI) Practice Audit Project

2009 ◽  
Vol 136 (5) ◽  
pp. A-333
Author(s):  
David Armstrong ◽  
Roger Hollingworth ◽  
Donald G. MacIntosh ◽  
Ying Chen ◽  
Ronald Bridges ◽  
...  
Keyword(s):  
Quality Indicators ◽  
Endoscopy Unit ◽  
Canadian Association ◽  
Audit Project ◽  
Practice Audit

SWEETWISE: developing a multi-professional approach to diabetes mellitus

2015 ◽  
Vol 17 (02) ◽  
pp. 107-113
Author(s):  
Amrit Takhar ◽  
Jenny Herbert ◽  
Rosemary Plum ◽  
Mukesh Lad ◽  
Deborah Manger ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Lifestyle Modification ◽  
Continuing Professional Development ◽  
Health Checks ◽  
Professional Network ◽  
Number Of Patients ◽  
Patients With Diabetes ◽  
Patient Advice ◽  
Audit Project ◽  
Improve Health

The formation of a local joint professional network (LJPN) in Northamptonshire has led to a joint Continuing professional development initiative and an audit project to determine the take up of annual health checks by patients with diabetes mellitus with dentists, optometrists, pharmacists as well as the usual check with the General Medical Practice team. The findings showed that a significant number of patients (29–50%) do not access available dental, optometry and pharmacy advice. Better collaboration between the professions has the potential to improve health outcomes in diabetes mellitus and other areas where lifestyle modification reduces adverse health risks. A patient advice card (SWEETWISE) was developed by the group and could be used to help educate patients and health professionals.

Abstract P6-16-03: Surgical management of DCIS during the UK Sloane audit project

2020 ◽  
Author(s):  
Cliona Clare Kirwan ◽  
Sheila Stallard ◽  
Senthurun Mylvaganam ◽  
Bridget Hilton ◽  
Karen Clements ◽  
...  
Keyword(s):  
Surgical Management ◽  
Audit Project ◽  
The Uk

scholarly journals Distribution of case-load in community mental health teams

2001 ◽  
Vol 25 (1) ◽  
pp. 10-12 ◽  
Author(s):  
Peter Tyrer ◽  
Omar Al Muderis ◽  
David Gulbrandsen
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Medical Officer ◽  
Psychiatric Nurses ◽  
Average Case ◽  
North West ◽  
Case Load ◽  
Audit Project ◽  
Load Size

Aims and MethodAn audit project was carried out in a mental health trust in North-West London on two successive years to determine the average case-load size of defined severe mental illness for each professional discipline.ResultsThe average case-load for non-consultants varied from 16 (for occupational therapists) through to 98 patients (for senior house officers). Community psychiatric nurses had an average case-load of 21 and consultants had an estimated average case-load of between 185 and 317 patients. The proportion of patients with severe mental illness ranged from 49% to 67%.Clinical ImplicationsThe case-loads of consultants in community health teams are too large to exercise the statutory duties of a responsible medical officer and, therefore, need revision.

scholarly journals Cerebrovascular accident and acute coronary syndrome and perioperative outcomes (CAPO) study protocol: a 10-year database linkage between Hospital Episode Statistics Admitted Patient Care, Myocardial Infarction National Audit Project and Office for National Statistics registries for time-dependent risk analysis of perioperative outcomes in English NHS hospitals

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e037904
Author(s):  
Matthew Stephen Luney ◽  
William Lindsay ◽  
Tricia M McKeever ◽  
Iain Keith Moppett
Keyword(s):  
Myocardial Infarction ◽  
Acute Coronary Syndrome ◽  
Cerebrovascular Accident ◽  
Cardiovascular Events ◽  
Hospital Episode Statistics ◽  
Perioperative Outcomes ◽  
National Audit ◽  
Coronary Syndrome ◽  
National Statistics ◽  
Audit Project

IntroductionAn increasing number of people who have a history of acute coronary syndrome or cerebrovascular accident (termed cardiovascular events) are being considered for surgery. Up-to-date evidence of the impact of these prior events is needed to inform person-centred decision making. While perioperative risk for major adverse cardiac events immediately after a cardiovascular event is known to be elevated, the duration of time after the event for which the perioperative risk is increased is not clear.Methods and analysisThis is an individual patient-level database linkage study of all patients in England with at least one operation between 2007 and 2017 in the Hospital Episode Statistics Admitted Patient Care database. Data will be linked to mortality data from the Office for National Statistics up to 2018, for 30-day, 90-day and 1-year mortality and to the Myocardial Ischaemia National Audit Project, a UK registry of acute coronary syndromes. The primary outcome will be the association between time from cardiovascular event to index surgery and 30-day all-cause mortality. Additional associations we will report are all unplanned readmissions, prolonged length of stay, 30-day hospital free survival and incidence of new cardiovascular events within one postoperative year. Important subgroups will be surgery specific (invasiveness, urgency and subspecialty), type of acute coronary syndrome (ST or non-ST elevation myocardial infarction) and type of cerebrovascular accident (ischaemic or haemorrhagic stroke).Ethics and disseminationEthical approval for this observational study has been obtained from East Midlands—Nottingham 1 Research Ethics Committee; REC reference: 18/EM0403. The results of the study will be made available through peer-reviewed publications and via the Health Services Research Centre of the Royal College of Anaesthetists, London.

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