ANNUAL SCIENTIFIC CONFERENCE OF
THE COLLEGE OF EMERGENCY MEDICINE
DUBLIN, TRINITY COLLEGE
Tuesday 23rd September - Thursday 25th September 2008
ABSTRACT FORM
Download (March) http://www.collemergencymed.ac.uk/cem/ (Conference, Dublin, Call for Abstracts)
February www.emergencymed.org.uk/cem (Conference, Dublin, Call for Abstracts)
TITLE OF PAPER:
Emergency medicine and primary angioplasty – organisational analysis
Author(s) Title (Dr, Mr etc), Professional Grade and Hospital (underline name of presenter)
(This information will appear in Conference Programme if abstract is selected)
Dr Angela Carter, Research Fellow, Institute of Work Psychology, the University of
Sheffield
Professor Stephen Wood, Research Chair and deputy Director, Institute of Work
Psychology, the University of Sheffield
Professor Steve Goodacre, Professor of Emergency Medicine, Health Services Research,
School of Health and Related Research, the University of Sheffield
Fiona Sampson, Research Fellow, Health Services Research, School of Health and Related
Research, the University of Sheffield
MAILING ADDRESS:
Institute of Work Psychology
University of Sheffield
Sheffield S10 2TN
E-Mail:
Telephone:
[email protected]
0114 2223250
Fax:
0114 2727206
My preferred format for the presentation of this abstract is (please tick ):

ORAL
POSTER
□
FOR TRAINEES ONLY
I wish my abstract to be considered for the Roderick Little Prize. (Trainees only)
YES
NO
Name of PRINCIPAL AUTHOR:
Dr Angela Carter
Date:17/04/2008
When completed, abstract forms should be emailed to [email protected]
Please use your surname followed by the word ‘abstract’ as the subject heading for the email
Abstract forms must be received by deadline of 18th April 2008
The authors’ names will be removed from the abstracts before being reviewed by the Research Committee. Abstracts will be judged by
their scientific validity, importance, and relevance to Emergency Medicine. Authors will receive notification of acceptance/rejection by
the end of July.
The authors of the highest rated Abstracts submitted for oral presentation will be invited to give presentations during the Free Paper
sessions. Other work will be invited in poster format, with the highest ranked posters also being invited to take place in a Moderated
Poster session. Space for posters is limited, so we anticipate that the abstract rejection rate will be higher than in previous years.
To give Emergency Medicine Trainees (junior doctors) an opportunity to demonstrate their work, the Roderick Little Prize Session has
been reserved for their presentations.
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AUTHOR(S): CARTER, WOOD, GOODACRE, & SAMPSON
ADDRESS: THE INSTITUTE OF WORK PSYCHOLOGY, THE UNIVERSITY OF SHEFFIELD,
SHEFFIELD S10 2TN
EMAIL: [email protected]
BODY OF ABSTRACT: (The abstract must be typed single-spaced and include no more than 300
words. Do not use a type size smaller than 10pt. Do not change the size of the text box. Do not
include references. One Table or Figure is, acceptable).
TITLE:
Emergency medicine and primary angioplasty – organisational analysis
Background
Primary angioplasty appears to be more effective than thrombolysis, but requires
reorganisation of acute services. The National Infarct Angioplasty Project (NIAP) involved
establishing primary angioplasty at ten hospitals to test the feasibility of delivering this
service in the NHS. This study aimed to assess the organisational and workforce
implications of setting up a primary angioplasty service.
Methods
The NIAP organisational and workforce evaluation was undertaken by researchers from the
Institute of Work Psychology, the University of Sheffield. Staff at seven hospitals
contributed by completing a survey and being involved in focus groups and interviews. In
addition, ethnographic observations were undertaken in catheter laboratories and objective
data was collected of the number of primary angioplasties conducted in the month of study.
In total 460 observations were collected.
Results
Direct to catheter laboratory transfer (bypassing the emergency department) was feasible
and achieved markedly shorter time delays. Primary angioplasty required a simple, direct
pathway of entry into the system, ideally facilitated by a routinely available “gatekeeper” for
the system. Involvement of stakeholders, especially emergency departments and ambulance
service were critical to assist the change management process. Establishing a full 24-hour
primary PCI service from the start appeared to work better than incremental expansion of
the catchment area and hours of availability.
Conclusions
The interventional cardiac workforce appears to be willing and able to support primary
angioplasty, potentially bypassing the emergency department. We have identified
organisational factors that may determine whether such a service is effective and
sustainable.
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