Primer: implementation of guideline-based programs for coronary care

Nature Clinical Practice. Cardiovascular Medicine
Kim A EagleCecelia K Montoye

Abstract

The American College of Cardiology Acute Myocardial Infarction Guidelines Applied in Practice program in Michigan, USA, was an initiative designed to improve the quality of cardiovascular care by bringing the American College of Cardiology/American Heart Association practice guidelines to the point of care. The program consisted of three different projects, involving a total of 33 hospitals. The program was implemented in five phases-planning, tool implementation, monitoring of tool use, remeasurement and reporting of results-by use of a collaborative model, which included a series of learning sessions for staff members that focused on the five phases. The goal was to identify the highest care priorities for patients with acute coronary syndromes and to incorporate these into the care itself. This aim was achieved with a standardized set of clinical-care tools, such as admission orders and discharge contracts; the use of such tools is associated with improvement in adherence to guidelines. Strategies were, however, tailored to each hospital by local teams. Performance was assessed by the use of tracking tools, which facilitate rapid improvement by enabling key performance indicators founded on the guidelines to be monitored. Us...Continue Reading

References

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Mar 12, 2002·JAMA : the Journal of the American Medical Association·Rajendra H MehtaUNKNOWN GAP Steering Committee of the American College of Cardiology
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Oct 4, 2005·Journal of the American College of Cardiology·Kim A EagleUNKNOWN American College of Cardiology Foundation (Bethesda, Maryland) Guidelines Applied in Practice Steering committee

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Citations

May 13, 2014·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Adesuwa B OlomuKim A Eagle
Jul 17, 2014·Nature Reviews. Cardiology·Karam Turk-AdawiSherry L Grace
Jul 16, 2016·Healthcare·Florian FischerAlexander Kraemer
Nov 6, 2014·Coronary Artery Disease·Shashank S SinhaPrashant Vaishnava
Mar 6, 2010·The American Journal of Gastroenterology·Lukejohn W DayMark Segal
May 28, 2011·Clinical Journal of the American Society of Nephrology : CJASN·San S WongDouglas Sepkowitz
Mar 11, 2009·Antioxidants & Redox Signaling·Saurabh Sen, Andrew B West
Mar 15, 2012·Journal of Clinical Psychology in Medical Settings·Justin M NashKevin S Masters
Aug 8, 2013·The International Journal of Neuroscience·M Obulesu, M Jhansilakshmi
Jun 4, 2020·European Journal of Preventive Cardiology·Izabella UchmanowiczIan M Graham
Jan 5, 2021·Journal of Tissue Viability·Melanie StephensNikki Stubbs
Feb 10, 2021·Disability and Rehabilitation·Louis-Pierre AugerAnnie Rochette
Feb 22, 2021·European Journal of Preventive Cardiology·Izabella UchmanowiczIan M Graham

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