Figure 1. The different ways that 'Chest Pain' is spelled in the field within the electronic medical record where the ED presentation symptoms are documented by the nursing staff.
Characteristics, management and outcomes of patients presenting with chest pain and acute coronary syndrome using data extracted from electronic records from Sydney Health Partners

Chest pain is one of the leading medical reasons for presentation to Emergency Departments. If related to the heart, it is commonly due to an acute coronary syndrome, a leading cause of mortality, morbidity and health care costs in Australia.

SPEED-EXTRACT aims to use electronic medical records to optimise the patient journey and outcomes across Sydney Health Partners local health districts in Sydney. The application of novel data analytic techniques will enable the identification of contributing factors to adverse outcomes and improve clinical care.

SPEED-EXTRACT will show the value of harnessing large number of electronic medical records that will lead to the development of near real-time clinical data audit and feedback, framework systems for clinical decision support and continuing medical education. Once the data collected is transformed into a well documented dataset, it will open the possibility for the application and development of advanced analytical methods to answer more specific questions uncovered by performing the original study.

  • Prof David Brieger – Cardiologist, Concord Hospital
  • Prof Clara Chow – Cardiologist, Westmead Hospital
  • Prof Gemma Figtree – Cardiologist, Royal North Shore Hospital
  • Dr Steve Vernon – Cardiologist, Royal North Shore Hospital
  • Prof Jonathan Morris – Director of Biomedical and Health informatics, Sydney Medical School, The University of Sydney
  • Prof Tim Shaw – Director of Implementation Science and eHealth, The University of Sydney
  • A/Prof Janice Gullick – Conjoint Nursing & Midwifery Research Fellow for the Sydney Local Health District
  • Dr Michelle Cretikos – Director of Population Health Clinical Quality and Safety, NSW Health.
  • Dr Marianne Gale – Medical Adviser, Office of the Chief Health Officer, NSW Ministry of Health
  • Mr Wilson Young – Implementation manager, NSW Health Analytics Framework, eHealth NSW
Figure 2. A map of the number of presentations featuring symptoms of cardiac chest pain that presented to ED at NSLHD between the 1st of April 2017 and the 30th of June 2017. The symptoms were identified from a field with the electronic medical record where the nursing staff documents the presentation.

Day: 0

Moving bubble plot of hospital transfers using D3.js

The data is ICD-10 coded STEMI patients (I21.0-3) who presented to ED and were admitted within NSLHD and CCLHD. Only patients who were transferred between facilities are shown.

Each day since May 1st 2016 is shown.

The data consists of pidgrp and durationpid is the identity (ID) of the patient (i.e., anonymised journey key), represented by a moving circle in the visualization. grp is the hospital that each patient can visit at any one time: RNSHornsbyGosfordRyde. Only transfers are represented here so all patients will visit at least two hospitals, moving between each hospital in a serial fashion. The length of time (days since May 1st 2016) until transfer is given in duration.

Note that the row order of the data provides the order of transfers for each patient.