Patient and health professional themes and sub-themes
| Theme | Patients | Health professionals |
| Acceptability of single blood test (LoDED) strategy |
Trust and reassurance
Having trust in the treating health professionals Feeling reassured by the number of other tests alongside blood test(s) Practicalities and reduced anxiety |
Reservations and anxieties
Identifying low-risk patients Lack of clinician experience Shortened observation period |
| Perceptions of symptom severity and uncertainty |
Identification and experience of chest pain
Lack of a firm diagnosis Understanding of being a low-risk chest pain patient Legitimate use of NHS services |
Ambiguity: diagnosis and ongoing management of ‘low-risk’ chest pain symptoms
Explaining risk and uncertainty to low-risk patients Acceptance: a small number of low-risk patients may have a heart attack in the future Lack of follow-up after ED attendance |
| Patient discharge information |
Patients valued written information
Readability and clarity Acceptable level of risk communicated |
Lack of current discharge information for patients with low-risk chest pain
Fills an information gap for low-risk chest pain patients |
LoDED, limit of detection and ECG discharge strategy.