Quality statement 4 | All patients managed via an outpatient PE pathway should be reviewed by a senior clinical decision-maker prior to going home. |
Rationale | Patients with either suspected or confirmed acute PE require review by a senior clinical decision-maker prior to discharge home to ensure that they are suitable for outpatient management and that other potential causes for symptoms have been excluded. |
Quality measure | Structure:
Process:
Numerator 1:The number of patients with suspected or confirmed acute PE who are reviewed by a senior clinical decision-maker prior to going home via an outpatient pathway. Denominator 1:The number of patients with suspected or confirmed acute PE managed via an outpatient pathway. |
Description of what the quality statement means for each audience | Service providers:
Healthcare professionals:
Commissioners:
People who are managed on an outpatient pathway for suspected or confirmed PE:
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Relevant existing indicators/data sources |
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Source references |
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Definitions | Senior clinical decision maker: a consultant physician, or if no consultant is available, a senior trainee (ST3 or above, ST4 in the case of emergency medicine), a staff grade or similar substantive career grade doctor or an advanced nurse practitioner or clinical nurse specialist with sufficient experience and training to be designated to undertake this role under an appropriately trained supervisor. |
Other information | Example of patient information leaflets—see Appendix 4: King’s College Hospital NHS Foundation Trust, Royal Free London NHS Foundation Trust and Sheffield Teaching Hospitals NHS Foundation Trust. |