Factor | Response | Count (%) | Mean DSR | p Value |
---|---|---|---|---|
Guidelines in use | Yes | 97 (94.2) | 628 | 0.80 |
No | 6 (5.8) | 606 | ||
Unit allowing decision making beyond the 4 h target | Yes | 49 (48.0) | 648 | 0.27 |
No | 53 (52.0) | 605 | ||
Specific chest pain unit | Yes | 17 (16.5) | 640 | 0.68 |
No | 86 (83.5) | 619 | ||
Point of care troponin use | Yes | 17 (16.3) | 659 | 0.45 |
No | 87 (83.7) | 619 | ||
Biochemical criteria used to rule out myocardial infarction | NICE guidance | 66 (63.5) | 622 | 0.60 |
ESC guidance | 12 (11.5) | 586 | ||
Other | 26 (25.0) | 653 | ||
Use of formalised risk scoring system | Yes | 58 (56.9) | 627 | 0.95 |
No | 44 (43.1) | 630 | ||
Routine access to CT coronary angiography | Yes | 7 (6.9) | 648 | 0.80 |
No | 94 (93.1) | 628 | ||
Routine access to exercise stress testing | Yes | 26 (25.5) | 628 | 0.99 |
No | 76 (74.5) | 628 | ||
All patients reviewed by a doctor with at least 3 years postregistration experience | Yes | 53 (53.5) | 646 | 0.37 |
No | 46 (46.5) | 609 | ||
Specialist chest pain nurses | Yes | 47 (46.1) | 636 | 0.69 |
No | 55 (53.9) | 621 |
DSR, direct standardised rate; NICE, National Institute of Health and Care Excellence.