January 1, 2007Quality Management in Health Care
Improving Guideline Adherence Through Intensive Quality Improvement and the Use of a National Quality Register in Sweden for Acute Myocardial Infarction
Key result
A multidisciplinary team-based improvement methodology enabled 50% of intervention hospitals to reduce the treatment gap in all 5 AMI treatments by 50%, compared to 0% of matched control hospitals.
Why the study?
Does a multidisciplinary team-based quality improvement methodology and use of a national quality register improve guideline adherence for acute myocardial infarction treatments?
Population
40 hospitals in Sweden treating patients with acute myocardial infarction
Comparison
Multidisciplinary team-based continuous quality… vs 20 matched control hospitals
Design
Cohort
Authors
Discussion
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Member takes
Implication
Team-based QI may improve AMI adherence in select hospitals; hypothesis-generating and requires RCTs before broader adoption.
Structured PICO
Does a multidisciplinary team-based quality improvement methodology and use of a national quality register improve guideline adherence for acute myocardial infarction treatments?
P
Population
40 Swedish hospitals (20 intervention, 20 matched controls) participating in the National Register in Cardiac Care to evaluate adherence to AMI guidelines.
I
Intervention
Multidisciplinary team-based continuous quality improvement methodology and use of specially designed quality control charts in the National Register for Cardiac Care
C
Comparator
20 matched control hospitals
O
Outcome
Adherence to national guidelines for 5 different treatments for AMI (reduction of the gap between optimal and actual treatment)
Main Result
Absolute Event Rate: 50% vs 0%
A multidisciplinary team-based quality improvement intervention using a national registry significantly improved adherence to evidence-based treatments for acute myocardial infarction.
Cite This Study
Peterson et al. (2007) studied Acute myocardial infarction (n=40). Multidisciplinary team-based improvement methodology and modified National Quality Register vs. Matched control hospitals was evaluated on Reducing the gap in 5 of 5 treatments by 50%. A multidisciplinary team-based improvement methodology enabled 50% of intervention hospitals to reduce the treatment gap in all 5 AMI treatments by 50%, compared to 0% of matched control hospitals.