| Reason | Higher risk of missed ACS in out-of-hours GP setting, (n = 70), n (%) | Lower risk of missed ACS in out-of-hours GP setting, (n = 92), n (%) |
|---|---|---|
| Unfamiliarity with patient, past medical history, context | 49 (70.0) | 18 (19.6) |
| Defensive stance and triage policy at out-of-office facility | 3 (4.3) | 54 (58.7) |
| Less experienced GPs at out-of-office facility | 3 (4.3) | 0 (0.0) |
| Higher a priori chance of ACS | 9 (12.9) | 7 (7.6) |
| Easy access to emergency department or hospital | 1 (1.4) | 9 (9.8) |
| Time pressure at out-of-office facility | 2 (2.9) | 0 (0.0) |
| Availability of electrocardiogram | 3 (4.3) | 1 (1.1) |
| No opportunity for follow-up | 0 (0.0) | 3 (3.3) |
ACS = acute coronary syndrome.