Optimising care of acute coronary syndromes in three Australian hospitals

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Ian A ScottJudy L Flores

Abstract

To improve quality of in-hospital care of patients with acute coronary syndromes using a multifaceted quality improvement program. Prospective, before and after study of the effects of quality improvement interventions between October 2000 and August 2002. Quality of care of patients admitted between 1 October 2000 and 16 April 2001 (baseline) was compared with that of those admitted between 15 February 2002 and 31 August 2002 (post-intervention). Three teaching hospitals in Brisbane, Australia. Consecutive patients (n = 1594) admitted to hospital with acute coronary syndrome [mean age 68 years (SD 14 years); 65% males]. Clinical guidelines, reminder tools, and educational interventions; 6-monthly performance feedback; pharmacist-mediated patient education program; and facilitation of multidisciplinary review of work practices. Changes in key quality indicators relating to timing of electrocardiogram (ECG) and thrombolysis in emergency departments, serum lipid measurement, prescription of adjunctive drugs, and secondary prevention. Comparing post-intervention with baseline patients, increases occurred in the proportions of eligible patients: (i) undergoing timely ECG (70% versus 61%; P = 0.04); (ii) prescribed angiotensin-conve...Continue Reading

Citations

Jan 16, 2016·Journal of Intensive Care Medicine·John LoughranAndrew P DeFilippis
Sep 17, 2019·Circulation. Cardiovascular Quality and Outcomes·Ehete BahiruMark D Huffman
Jun 1, 2021·Interventional Cardiology Clinics·Dan D Nguyen, Jacob A Doll

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