A report of quality improvement in the care of patients with acute coronary syndromes
| Autor: | James W. Hoekstra, Carolyn A. Berry, David M. Larson, Rachel Bongiorno Karcher, Christopher P. Cannon, Stephanie A. Stowell, William A. Mencia |
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| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Acute coronary syndrome Quality management Time Factors business.industry Health Personnel medicine.disease Quality Improvement Risk Assessment United States Continuing medical education Practice Guidelines as Topic Medicine Humans In patient Education Medical Continuing Medical emergency Patient Care Acute Coronary Syndrome Cardiology and Cardiovascular Medicine business Intensive care medicine American Medical Association Retrospective Studies |
| Zdroj: | Critical pathways in cardiology. 10(1) |
| ISSN: | 1535-2811 |
| Popis: | Despite the existence and wide acceptance of guidelines for the treatment of patients with acute coronary syndromes, gaps in patient care still remain. To improve clinical processes of acute coronary syndromes care, a performance improvement (PI) continuing medical education (CME) program, a CME format approved by the American Medical Association, was developed. Clinician participants underwent a 3-stage process: (1) an initial patient chart review for self-assessment purposes, (2) the development and implementation of a personalized PI plan focusing on strategies to enhance processes of care, and (3) a second patient chart review to assess the changes in practice. Although participants provided a high baseline level of guideline-recommended care, there was an improvement in the documentation of the use of risk scores and a trend towards improved treatment times including many participants reaching a door-to-needle time of within 30 minutes. Participants were also more likely to measure cardiac biomarkers and document electrocardiogram performance times. These results demonstrate that PI is a valid and effective means of CME that has the potential to positively affect patient outcomes. |
| Databáze: | OpenAIRE |
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