Clinical Practice

Audit of Coronary Angiography and Bypass Surgery

by D. Gray, John R. Hampton, Steven J. Bernstein, Jacqueline Kosecoff, Robert H. Brook


Download Free Electronic Document

FormatFile SizeNotes
PDF file 0.4 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.


Purchase Print Copy

 FormatList Price Price
Add to Cart Paperback4 pages $20.00 $16.00 20% Web Discount

The appropriateness of coronary angiography and coronary artery bypass surgery in the Trent regional health authority was assessed by comparison with predetermined consensus criteria. Forty-nine percent of coronary angiographies were considered to be entirely appropriate in relation to the patient's clinical condition, but 21 percent were deemed inappropriate. Coronary artery bypass surgery was considered appropriate in 55 percent of patients, but inappropriate in 16 percent. Audit by "appropriateness" scores may help to determine which patients should first be investigated and treated when resources are limited and waiting lists are long.

This report is part of the RAND Corporation Note series. The note was a product of the RAND Corporation from 1979 to 1993 that reported other outputs of sponsored research for general distribution.

Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.