Why the study?
Does a collaborative quality improvement initiative enhance adherence to prevention guidelines in hospitalized patients with coronary artery disease?
Does a collaborative quality improvement initiative enhance adherence to prevention guidelines in hospitalized patients with coronary artery disease?
A collaborative quality improvement initiative and interactive training significantly enhanced adherence to secondary cardiovascular prevention guidelines in hospitalized patients with CAD.
May support collaborative quality improvement for CAD prevention metrics; leaves open causality and generalizability without randomized trials.
demonstratedinsmokingcessationcounseling(48%[95% confidenceinterval{CI},36.6%-58.4%]to87%[95%CI, 73.1%-100.7%]), lipid treatment (54% [95% CI, 46.6%70.2%] to 79% [95% CI, 70.2%-88.3%]), lipid measurement (59% [95% CI, 51.5%-66.0%] to 81% [95% CI, 72.0%-89.5%]), and cardiac rehabilitation referral (34% [95%CI,25.9%-39.7%]to73%[95%CI,63.2%-82.9%]). An improving trend was seen in blood pressure control (60% [95% CI, 55.3%-65.6%] to 68% [95% CI, 60.2%-76.1%]).Highbaselineusewasmaintainedforuse of aspirin, -blockers, and angiotensin-converting enzyme inhibitors. Conclusion: Implementation of a collaborative quality improvement initiative, interactive training of hospital teams with physician champions, and the use of an interactive Web-based Patient Management Tool enhanced adherence to prevention guidelines in hospitalized patients with coronary artery disease.
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LaBresh et al. (2004) studied this question.
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