Why the study?
Does a multifaceted quality improvement program improve care processes and guideline adherence in patients hospitalized with acute coronary syndromes?
Population
1,594 consecutive patients admitted to hospital with acute coronary syndrome, mean age 68 years, 65% male…
Comparison
Multifaceted quality improvement program… vs Baseline care.
Design
Cohort
Key result
A multifaceted quality improvement program significantly increased the proportion of acute coronary syndrome patients undergoing timely ECG (70% vs 61%; P=0.04) and receiving evidence-based therapies.
Authors
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Supports QI programs for ACS process improvement in observational settings; leaves open randomized confirmation of outcome benefits.
Observational (n=1,594)
Yes
Does a multifaceted quality improvement program improve care processes and guideline adherence in patients hospitalized with acute coronary syndromes?
Absolute Event Rate: 70% vs 61%
p-value: p=0.04
A multifaceted quality improvement program significantly improves adherence to evidence-based care processes and secondary prevention prescribing for patients hospitalized with acute coronary syndromes.
Ian Scott (2004) conducted an observational in Acute coronary syndromes (n=1,594). Multifaceted quality improvement program vs. Baseline care (pre-intervention) was evaluated on Proportion of eligible patients undergoing timely ECG (p=0.04). A multifaceted quality improvement program significantly increased the proportion of acute coronary syndrome patients undergoing timely ECG (70% vs 61%; P=0.04) and receiving evidence-based therapies.