Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Indicator 5a-NSTEACS patients informed of the risks and benefits of coronary angiography|
|Registration status:||Health, Standard 12/09/2016|
Proportion of patients with non-ST-segment-elevation acute coronary syndrome (NSTEACS) who, having been assessed as intermediate or high-risk of an adverse cardiac event using a guideline-recommended tool, are informed of the risks and benefits of coronary angiography.
High-risk patients should be treated aggressively with medical management and arrangements should be made for coronary angiography and revascularisation where appropriate, except in those with severe comorbidities, including general frailty (Acute Coronary Syndrome Guidelines Working Group 2006; AHMAC 2014). Informing patients of the risks and benefits of a procedure ensures that the delivery of care is consumer-centred and aligns with the Australian Safety and Quality Framework for Health Care (ACSQHC 2010).
|Indicator set:||Clinical care standard indicators: acute coronary syndromes Health, Standard 12/09/2016|
|Outcome area:||Coronary angiography Health, Standard 12/09/2016|
Collection and usage attributes
Both the numerator and the denominator include patients with NSTEACS.
The denominator excludes patients for whom angiography is contraindicated (where the contraindication is documented in their medical record). Contraindications may include advance care directives, being on a palliative care pathway, and clinical judgement, subject to discussion with patients, family and carers.
Presented as a percentage.
(Numerator ÷ denominator) x 100
Number of NSTEACS patients, who, having been assessed as intermediate or high-risk of an adverse cardiac event using a guideline-recommended tool, whose records have documented evidence that they were informed of the risks and benefits of coronary angiography, based upon their clinical situation.
Number of NSTEACS patients assessed as intermediate or high-risk of an adverse cardiac event using a guideline‑recommended tool.
Refer to the Guidelines for the management of acute coronary syndromes 2006 (Acute Coronary Syndrome Guidelines Working Group 2006) for features associated with high‑risk, intermediate-risk and low-risk NSTEACS.
|Unit of measure:||Episode|
Source and reference attributes
Australian Commission on Safety and Quality in Health Care
Acute Coronary Syndrome Guidelines Working Group 2006. Guidelines for the management of acute coronary syndromes 2006. Medical Journal of Australia 184(8):S1–S30.
ACSQHC (Australian Commission on Safety and Quality in Health Care) 2010. Australian Safety and Quality Framework for Health Care. ACSQHC, Sydney. Viewed May 2014, http://www.safetyandquality.gov.au/wp-content/uploads/2012/01/32296-Australian-SandQ-Framework1.pdf.
AHMAC (Australian Health Ministers’ Advisory Council) 2014. Better cardiac care for Aboriginal and Torres Strait Islander people: Post-forum report. Sydney: AHMAC.