Our hospital is often required to send patients to another hospital for treatment. If this occurs, for example, with an AMI patient, how is the patient represented in our data collection?
If possible exclude these patients from the audit. If it is not possible to exclude them because the sample size would be adversely affected, you can demonstrate compliance in care for the period the patient is at your hospital. If the patient receives all the components for STEMI admission, then is transferred, you should consider this patient to be compliant. The same will be true for the receiving hospital, if the patient arrives after receiving the admission components at your facility, then the receiving hospital will concentrate on demonstrating compliance with during hospitalisation and discharge care. The compliance measure for AMI implies that all patients need to be included. We are concerned that this is a large undertaking, especially as the other interventions are only required to collect data on up to 20 patients. Can you comment on this? In the interests of consistency, the AMI compliance measure can be limited to a sample of ‘up to 20 patients’ as for the other interven
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