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NICOR, the Society for Cardiothoracic Surgery (SCTS), and the University of Manchester, has released the SCTS Governance Tool. This new online rescource enables cardiac surgery consultants to access information about their clinical activity and outcomes, which facilitates effective monitoring of data quality and clinical practice. The tool allows selection of time periods and operative groups to generate downloadable reports ‘on demand’, which show analysis based on up-to-date, and 'cleaned', National Adult Cardiac Surgery Audit (NACSA) data. More...
Published: Feb 7, 2014 3:28:12 PM
The 2012 annual report on devices from the Cardiac Rhythm Management National Audit has now been published. It is available to view and download from: More...
Published: Feb 5, 2014 1:48:26 PM
NICOR (The National Institute for Cardiovascular Outcomes Research) collects patient information from hospitals across the UK to try and improve the quality of care and outcomes for patients that have heart problems and treatments. These include adult heart surgery, heart attack, heart procedures, heart devices (for example pacemakers), heart failure and congenital heart surgery. More...
Published: Feb 4, 2014 2:11:08 PM
Report National Audit of Percutaneous Coronary Interventional (PCI) procedures 2012
published January 30th 2014.
Expansion in the use of Percutaneous Coronary Intervention (PCI) is seeing more patients with acute coronary syndromes treated more quickly, according to the latest National Audit of PCI (covering 2012). Key findings from the report include: More...
Published: Jan 30, 2014 8:09:31 AM
Acute myocardial infarction: a comparison of short-term survival in national outcome registries in Sweden and the UK
The Myocardial Ischaemia National Audit Project (MINAP), from which the data for the Lancet paper was obtained, continues to collect detailed information about the care provided to patients with heart attack. This demonstrates the commitment of participating clinicians, Trusts and governments to improvements in quality of care. While important improvements have been made since 2010, the end of the period studied by the researchers, there is no room for complacency. We need to continue emphasising both the provision of the best modern care, and the recording of that care. We also need to shift from publishing details of the process of care to the outcomes of care. It is our intention to produce a preliminary report of outcomes for each hospital this year. More...
Published: Jan 23, 2014 10:33:12 AM
Data is collected and submitted by centres using a minimum dataset of 40 fields and through the online Lotus Domino version of the central cardiac audit database (CCAD). To ensure patient confidentiality the CCAD uses advanced data encryption technology to control access to data through a secure key system.
Independent data validation is carried out by a visiting team comprising of a data auditor and a clinician. 20 submitted records are chosen at random by the validation team and compared with hospitals medical records, operating theatres records, and with laboratory records on cardiac catheterisation.
Entries are checked in log books and catheter laboratories for the entire year in each hospital to ensure complete ascertainment of procedures. Periodically submitted data is also compared with hospital episode statistics (HES). This external validation process over the years has seen major improvements in the quality of data submitted by units and is vital for accurate survival analysis.
In addition the service provides analytical support with the production of annual reports to all congenital centres and makes available national survival results for the treatment of congenital heart disease to the public domain.
The audit aims:
to monitor care and provide national analysis of outcomes of paediatric cardiac surgery and therapeutic cardiac catheterisations procedures in children with congenital heart disease.
to provide the means for hospitals to record and compare both immediate and long-term outcomes of children with congenital heart disease
to provide long term comparative statistics for each hospital contributing in the audit. At present this includes survival rates at 30 days and one year after treatment
the ability to track re-intervention wherever it takes place, enabling clinicians to identify the long-term outcomes for patients following any specific treatment
to provide clinicians and the public with more accurate information about likely outcomes of current treatments
to provide validated, centre specific survival results (30 days and one year) after treatment for children with congenital heart disease in the public domain
to provide verbal and written feedback to each centre on data completeness and quality following validation visits, to include advice on best practice from other centres to optimise data quality and data collection efficiency
to facilitate the development and validation of risk stratification for surgery and therapeutic catheterisation in congenital heart disease
to facilitate detection of best practice in terms of survival and freedom from re-intervention, thereby improving patient care
to facilitate detection of poor performance by providing validated information to bodies involved with ongoing quality assurance thereby improving patient care.
Page last modified on 22 feb 12 15:44