Impact of attributed audit on procedural performance in cardiac electrophysiology catheter laboratory

Impact of attributed audit on procedural performance in cardiac electrophysiology catheter... Purpose Audit has played a key role in monitoring and improving clinical practice. However, audit often fails to drive change as summative institutional data alone may be insufficient to do so. We hypothesised that the practice of attributed audit, wherein each individual’s procedural performance is presented will have a greater impact on clinical practice. This hypothesis was tested in an observational study evaluating improvement in fluoroscopy times for AF ablation. Methods Retrospective analyses of fluoroscopy times in AF ablations at the Barts Heart Centre (BHC) from 2012–2017. Fluoroscopy times were compared pre- and post- the introduction of attributed audit in 2012 at St Bartholomew’s Hospital (SBH). In order to test the hypothesis, this concept was introduced to a second group of experienced operators from the Heart Hospital (HH) as part of a merger of the two institutions in 2015 and change in fluoroscopy times recorded. Results A significant drop in fluoroscopy times (33.3 ± 9.14 to 8.95 ± 2.50, p < 0.0001) from 2012-2014 was noted after the introduction of attributed audit. At the time of merger, a significant difference in fluoroscopy times between operators from the two centres was seen in 2015. Each operator’s procedural performance was shared http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Interventional Cardiac Electrophysiology Springer Journals

Impact of attributed audit on procedural performance in cardiac electrophysiology catheter laboratory

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Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer Science+Business Media, LLC, part of Springer Nature
Subject
Medicine & Public Health; Cardiology
ISSN
1383-875X
eISSN
1572-8595
D.O.I.
10.1007/s10840-018-0383-6
Publisher site
See Article on Publisher Site

Abstract

Purpose Audit has played a key role in monitoring and improving clinical practice. However, audit often fails to drive change as summative institutional data alone may be insufficient to do so. We hypothesised that the practice of attributed audit, wherein each individual’s procedural performance is presented will have a greater impact on clinical practice. This hypothesis was tested in an observational study evaluating improvement in fluoroscopy times for AF ablation. Methods Retrospective analyses of fluoroscopy times in AF ablations at the Barts Heart Centre (BHC) from 2012–2017. Fluoroscopy times were compared pre- and post- the introduction of attributed audit in 2012 at St Bartholomew’s Hospital (SBH). In order to test the hypothesis, this concept was introduced to a second group of experienced operators from the Heart Hospital (HH) as part of a merger of the two institutions in 2015 and change in fluoroscopy times recorded. Results A significant drop in fluoroscopy times (33.3 ± 9.14 to 8.95 ± 2.50, p < 0.0001) from 2012-2014 was noted after the introduction of attributed audit. At the time of merger, a significant difference in fluoroscopy times between operators from the two centres was seen in 2015. Each operator’s procedural performance was shared

Journal

Journal of Interventional Cardiac ElectrophysiologySpringer Journals

Published: Jun 1, 2018

References

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