Department of Cardiology, Queen Elizabeth Hospital Birmingham, UK.
Heart. 2011 Aug;97(16):1293-7. doi: 10.1136/heartjnl-2011-300299. Epub 2011 Jun 30.
To create an inclusive and accurate registry of all percutaneous coronary intervention (PCI) procedures performed in the UK for audit to assess quality of care, drive improvements in this care and to provide data for research.
Feedback to PCI centres with 'live' online data analysis and structured monthly and quarterly reports of PCI activity, including process of care measures and assessment of risk-adjusted outcome. Annual national reports focused on the structure of the provision of PCI across the UK, the appropriateness and process of its delivery and outcomes.
All hospitals performing PCI in the UK.
1994 to present.
Consecutive patients treated by PCI. Approximately 80,000 new procedures each year in recent years.
All attempts to perform a PCI procedure. This is defined as when any coronary device is used to approach, probe or cross one or more coronary lesions, with the intention of performing a coronary intervention.
113 variables defining patient demographic features, indications for PCI, procedural details and outcomes up to time of hospital discharge.
Data entry into local software systems by caregivers and data clerks, with subsequent encryption and internet transfer to central data servers.
Local validation, range checks and consistency assessments during upload. No external validation. Feedback of data completeness to all units.
Available for research by application to British Cardiovascular Intervention Society using a data sharing agreement which can be obtained at http://www.bcis.org.uk.
创建一个涵盖英国所有经皮冠状动脉介入治疗(PCI)手术的包容性和准确的登记处,以便进行审计,评估护理质量,推动护理质量的改进,并为研究提供数据。
向 PCI 中心提供“实时”在线数据分析以及 PCI 活动的月度和季度结构化报告,包括护理过程措施和风险调整后结果评估。年度国家报告侧重于英国 PCI 服务的提供结构、其提供的适当性和过程以及结果。
英国所有进行 PCI 的医院。
1994 年至今。
接受 PCI 治疗的连续患者。近年来,每年约有 80,000 例新手术。
所有尝试进行 PCI 手术的尝试。这被定义为当任何冠状动脉器械用于接近、探查或穿过一个或多个冠状动脉病变,意图进行冠状动脉介入治疗时。
定义患者人口统计学特征、PCI 适应证、手术细节和出院时结果的 113 个变量。
护理人员和数据录入员将数据输入本地软件系统,随后进行加密并通过互联网传输到中央数据服务器。
上传过程中进行本地验证、范围检查和一致性评估。没有外部验证。向所有单位反馈数据完整性。
可通过向英国心血管介入学会申请使用数据共享协议进行研究,该协议可在 http://www.bcis.org.uk 获得。