TY - JOUR
AU1 - Stephanie Coughlin
AU2 - Frank Milligan
AB - Purpose – The purpose of this paper is to report the findings of an audit undertaken on the use of the Thrombolysis in Myocardial Infarction (TIMI) scoring system, and adherence to agreed treatment protocols, in the triage of patients with cardiac chest pain. Design/methodology/approach – A retrospective review of case notes. Sixty eight patients were audited on the use of TIMI score and 64 of these were further audited on the management commenced in the emergency department. Findings – Only nine of the 68 patients with cardiac chest pain had a TIMI score documented. Of the 64 patients, 31 analysed for treatment commenced were managed correctly, 33 patients ( n =64) were either under or over treated. Practical implications – Adherence to clinical guidelines should be subject to audit review to assess impact on patient outcomes. Over‐treatment included administration of unnecessary anticoagulants raising patient safety and cost issues. Under‐treatment left patients vulnerable to further cardiac events. Originality/value – This paper demonstrates the value of utilising audit data in quantifying adherence to clinical guidelines, thereby improving patient outcomes.
TI - An audit of acute coronary syndrome assessment (TIMI scoring) and treatment
JF - Clinical Governance An International Journal
DO - 10.1108/14777270810867339
DA - 2008-04-25
UR - https://www.deepdyve.com/lp/emerald-publishing/an-audit-of-acute-coronary-syndrome-assessment-timi-scoring-and-lauHKoh4YB
SP - 138
EP - 141
VL - 13
IS - 2
DP - DeepDyve
ER -