Heart disease
is recognised as one of the biggest killers in the United Kingdom
and has been targeted as a key area, by the Government, for quality
improvement within the National Health Service. Added to this,
recent adverse publicity focusing upon results in cardiac surgery
has increased the pressures on clinicians to monitor performance.
As purchasers begin to invest heavily in preventative and therapeutic
strategies for coronary heart disease, it is naturally expected
that the provision of cardiac interventional services will be of
high quality and committed to continuous improvement, and that
providers of such care have evidence of this.
The two common procedures performed on
patients with coronary artery disease are coronary
artery bypass graft (CABG) surgery and percutaneous
coronary interventions (PCI).
The North West Quality Improvement Programme
in Cardiac Interventions was developed from the North
West Regional Cardiac Surgery Audit project which had
developed an audit standard for cardiac surgical mortality.
Since starting in 1997, we have developed a variety
of techniques including statistical process control
charts for monitoring the effects of change in clinical
practice across time; cumulative summation charts to
define the limits of acceptable clinical performance;
multi-professional site visits and meetings; and patient
follow-up to measure quality of life. To find out more,
please click here.
In recognition of the collaborations
innovative work we won the 2003 HSJ award for Improvement
in Performance Management and have moved on to publish
surgeons specific mortality data.
Click here for
the latest cardiac surgery results in the North West
of England.
Click here for
the latest percutaneous coronary intervention results
in the North West of England.
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