Funnel plots, performance variation and the Myocardial Infarction National Audit Project 2003–2004
2006

Using Funnel Plots to Improve Heart Attack Care

Sample size: 99133 publication Evidence: moderate

Author Information

Author(s): Christopher P Gale, Anthony P Roberts, Phil D Batin, Alistair S Hall

Primary Institution: Academic Unit of Cardiovascular Medicine, The General Infirmary at Leeds

Hypothesis

Funnel plots derived from MINAP data can provide more meaningful interpretations of clinical performance data.

Conclusion

Funnel plots allow for visual comparison of data from multiple healthcare units, helping to identify variations and areas for quality improvement.

Supporting Evidence

  • Funnel plots can visually represent performance data from multiple hospitals.
  • The study included a large sample size of over 99,000 patients.
  • Variation in performance was identified across hospitals, indicating areas for improvement.

Takeaway

Funnel plots help doctors see how well hospitals are doing in treating heart attacks, making it easier to spot where improvements are needed.

Methodology

The study analyzed data from 230 hospitals and 99,133 patients in the MINAP database, generating funnel plots for various performance metrics.

Potential Biases

Potential biases in data collection and reporting may affect the results.

Limitations

The analysis may produce false negatives and positives, and being within control limits does not guarantee a unit is not underperforming.

Participant Demographics

Patients included had a diagnosis of definite acute myocardial infarction (AMI) with no justified delay to treatment.

Digital Object Identifier (DOI)

10.1186/1471-2261-6-34

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