Examination of health care assessment practices and costs pre- and post- implementation of an accelerated chest pain assessment protocol.

What is the processes of care for patients who present to the Emergency Department with chest pain?

Grant ID: EMSS-221R24-2015

Lay Summary

Current guidelines for the assessment of patients with chest pain mandate that patients remain in hospital for a minimum of 6 to 12 hours, with many staying overnight. We have developed an accelerated assessment protocol for patients who present to Emergency Departments with chest pain; the Brisbane Accelerated CHest pain protocol (BACH protocol). This strategy should support the accelerated assessment of more than 70% of all ED patients presenting with possible symptoms of a heart attack.
Research into the effectiveness of the BACH protocol was completed in 2014, and showed it to be safe and effective. As such, it was immediately recommended as usual care at the Royal Brisbane and Women's Hospital (RBWH). However, a major concern for health care services is that clinical practice may not change despite quality research identifying ways to improve patient care. Studies show that it takes around 17 years from an idea to progress from the research stage to a change in clinical practice. The current proposal is to assess whether the BACH protocol has been successfully translated into clinical care. That is, has clinical practice really changed as a result of the investment in research? If we are able to show that clinicians use this safe strategy routinely, it will support efforts to more widely use this protocol in Emergency Departments across Australia, potentially saving significant health care costs.


Amount Awarded


Grant Scheme


Principal Investigator:
Prof Louise Cullen

Co Investigators:
A/Prof Jaimi Greenslade
Prof William Parsonage
Dr Adam Scott
Dr Jacobus Ungerer

Associate Investigators:
Ms Ariel Ho
Prof Nicholas Graves
Ms Tracey Hawkins
A/Prof Julia Crilly
A/Prof Gerben Keijzers


Collaborating Institutions

CONTACT US +61 7 3720 5700 info@emfoundation.org.au 2/15 Lang Parade Milton Qld 4064