Management of acute coronary syndromes at hospital discharge: Do targeted educational interventions improve practice quality?

Peterson, Gregory M., Thompson, Angus, Pulver, Lisa K., Robertson, Marion B., Brieger, David, Wai, Angela and Tett, Susan E. (2012) Management of acute coronary syndromes at hospital discharge: Do targeted educational interventions improve practice quality?. Journal for Healthcare Quality, 34 1: 26-34. doi:10.1111/j.1945-1474.2011.00137.x

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Author Peterson, Gregory M.
Thompson, Angus
Pulver, Lisa K.
Robertson, Marion B.
Brieger, David
Wai, Angela
Tett, Susan E.
Title Management of acute coronary syndromes at hospital discharge: Do targeted educational interventions improve practice quality?
Journal name Journal for Healthcare Quality   Check publisher's open access policy
ISSN 1062-2551
1945-1474
Publication date 2012-01
Year available 2011
Sub-type Article (original research)
DOI 10.1111/j.1945-1474.2011.00137.x
Volume 34
Issue 1
Start page 26
End page 34
Total pages 9
Place of publication Malden, MA, United States
Publisher Wiley-Blackwell
Collection year 2012
Language eng
Formatted abstract
Evidence-based guidelines exist for the management of patients with acute coronary syndromes (ACS), yet adherence is suboptimal. The Discharge Management of Acute Coronary Syndrome project used a quality improvement approach, with targeted intervention strategies to optimize: prescription of guideline-recommended medications; education regarding lifestyle modifications, including cardiac rehabilitation (CR); and communication between hospital staff, patients, and general practitioners. Hospitals across Australia participated in a quality improvement cycle of audit, feedback, intervention, and reaudit. Interventions involved educational meetings, academic detailing and point-of-care reminders, and feedback of baseline audit results. Outcome measures included prescription of guideline-recommended medications, referral to CR, and documentation and communication of management plan. At baseline, 49 hospitals recruited 1,545 patients, and postintervention, 45 hospitals remained active in the project and recruited 1,589 patients. Three thousand and thirty-four hospital staff attended group education or academic detailing sessions. Postintervention, there was a significant increase in the prescription of all four guideline-recommended medications (69% vs. 57%; p<.0001); short-acting nitrates (68% vs. 56%; p<.0001); and documented referral to CR (68% vs. 57%; p<.0001). There were significant increases in documented discharge medication counselling, smoking cessation counselling, and communication of management plans. Targeted educational interventions used as part of a quality improvement cycle can enhance adherence to evidence-based guidelines for the management of patients with ACS.
Keyword Acute coronary syndromes
Continuum of care
Medication
Quality improvement
Audit
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article first published online: 1 MAR 2011. Author prepress title: "Management of acute coronary syndrome at hospital discharge: Do targeted educational interventions improve practice?"

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Medicine Publications
School of Pharmacy Publications
 
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Created: Fri, 04 Mar 2011, 14:37:26 EST by Charna Kovacevic on behalf of School of Pharmacy