UNSCHEDULED CARE SERVICES OUTCOME OBJECTIVE 2012/2013 KPI TARGET EXEC LEAD KEY ACTIONS MEASURE (where EXPECTED CHANGE STANDARDS REF DATE applicable) FOR HEALTH LINK Improve the rate of return of In March Medical Increase 6, 7, 8 Undertake audit of cardiac arrest - % of patients who spontaneous circulation at hospital develop- 2013 Director advanced life support (ALS) provision have undergone arrival for patients ment against JRCALC guidelines cardio pulmonary resuscitation Adopt and implement the most up to (CPR) have a date UK Resus Council / JRCALC return of guidelines spontaneous Develop and introduce audit tool for circulation (ROSC) CTLs to be able to measure practice at on hospital arrival station / team / individual level Improve the survival rate for patients In March Medical Increase 6, 7, 8 Agree and implement data recording / Utstein rate – suffering cardiac from survival to develop- 2013 Director reporting requirements with each LHB overall survival discharge ment - measure WAST's contribution to rate reported by survival to discharge outcome (i.e. hospital Increase report on patients delivered by WAST % patients with ROSC and subsequently survived admitted to to discharge) hospital by ambulance with ROSC are discharged to survival To improve the outcomes of patients O03 March Medical Increase 6, 7, 8 Undertake audit of STEMI % transferred to suffering from acute ST-elevation O04 2013 Director management (care bundle) against PPCI within 150 myocardial infarction (STEMI) JRCALC guidelines mins Increase
UNSCHEDULED CARE SERVICES OUTCOME OBJECTIVE 2012/2013 KPI REF TARGET DATE EXEC LEAD KEY ACTIONS MEASURE (where applicable) EXPECTED CHANGE STANDARDS FOR HEALTH LINK Improve the rate of return of spontaneous circulation at hospital arrival for patients In develop- ment March 2013 Medical Director Undertake audit of cardiac arrest - advanced life support (ALS) provision against JRCALC guidelines Adopt and implement the most up to date UK Resus Council / JRCALC guidelines Develop and introduce audit tool for CTLs to be able to measure practice at station / team / individual level % of patients who have undergone cardio pulmonary resuscitation (CPR) have a return of spontaneous circulation (ROSC) on hospital arrival Increase 6, 7, 8 Improve the survival rate for patients suffering cardiac from survival to discharge In develop- ment March 2013 Medical Director Agree and implement data recording / reporting requirements with each LHB - measure WAST's contribution to survival to discharge outcome (i.e. report on patients delivered by WAST with ROSC and subsequently survived to discharge) Utstein rate – overall survival rate reported by hospital % patients admitted to hospital by ambulance with ROSC are discharged to survival Increase Increase 6, 7, 8 To improve the outcomes of patients suffering from acute ST-elevation myocardial infarction (STEMI) O03 O04 March 2013 Medical Director Undertake audit of STEMI management (care bundle) against JRCALC guidelines % transferred to PPCI within 150 mins Increase Increase 6, 7, 8
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