Thrombolysis breakdown

What does it show?

This output provides thrombolysis results at patient level, showing outcomes and allows to investigate why patients didn’t receive thrombolysis. 

The document consists of the following tabs that contain information on different subgroups of patients:

• Timing summary - contains information about clock start to thrombolysis times (a.k.a "door to needle"). The Timings Summary has added timing information for your team about median times and NIHSS. This has been broken down into subsets of patients who did and did not have complications after thrombolysis, and were and were not eligible for thrombolysis (according to the RCP guideline minimum criteria):
• Eligible and thrombolysed - information about patients who were deemed eligible for thrombolysis and who received thrombolysis
• 2) Eligible, not achieved - information about patients who were deemed eligible for thrombolysis, but who did not receive it
• 3) Not eligible, thrombolysed - information about patients who were not deemed eligible for thrombolysis, but who were given it anyway
• Calculations (read only) - contains Excel formulas enabling the calculations in "'Timings summary" - please DO NOT amend.

The document also contains the thrombolysis eligibility criteria for Key Indicator 3.2 based on Recommendation 3.5.1 in the 2016 National Clinical Guideline for Stroke. 

How can you use it?

It provides a retrospective analysis of patients in a periodic report, and should help explain Key Indicator 3.2B "Percentage of eligible patients (according to the RCP guideline minimum threshold) given thrombolysis" in greater detail. It should help explain how your team's results were derived, and identify the patients in each category so that if changes in process are required they are easier to plan for.

It is hoped that it constitutes a useful adjunct to the main reporting. 

Where can I find it?

Team thrombolysis breakdown reports are available here - Results > Clinical audit > Team (choose your team name from the drop-down box) and then click on ‘Thrombolysis breakdown’

Feedback

We would greatly appreciate any feedback that you have on this report. If you found the report useful, or think there is any way that we could improve the report, we would love to hear from you. Please feel free to email via the contact button, or leave a comment below.