Management of unstable angina. Guidelines – 2000

Aroney, Con; Boyden, Andrew; Jelinek, Michael; Thompson, Peter L.; Tonkin, Andrew; White, Harvey D.

doi:10.5694/j.1326-5377.2001.tb143354.x

Cited by 15 publications

(29 citation statements)

References 1 publication

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“…Detailed patient eligibility criteria are described elsewhere 1 , 2 , 14 . These indicators were derived from evidence‐based guidelines released in 2000 and 2001, 15 , 16 and modified by consensus of an expert panel of cardiologists and general physicians. Outcome indicators were in‐hospital mortality rate, mean length of hospital stay, and same‐diagnosis readmission rate within 30 days of discharge.…”

Section: Methodsmentioning

confidence: 99%

Multisite, quality‐improvement collaboration to optimise cardiac care in Queensland public hospitals

Scott

Darwin

Harvey

et al. 2004

Medical Journal of Australia

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Objective: To evaluate changes in quality of in‐hospital care of patients with either acute coronary syndromes (ACS) or congestive heart failure (CHF) admitted to hospitals participating in a multisite quality improvement collaboration. Design: Before‐and‐after study of changes in quality indicators measured on representative patient samples between June 2001 and January 2003. Setting: Nine public hospitals in Queensland. Study populations: Consecutive or randomly selected patients admitted to study hospitals during the baseline period (June 2001 to January 2002; n = 807 for ACS, n = 357 for CHF) and post‐intervention period (July 2002 to January 2003; n = 717 for ACS, n = 220 for CHF). Intervention: Provision of comparative baseline feedback at a facilitative workshop combined with hospital‐specific quality‐improvement interventions supported by on‐site quality officers and a central program management group. Main outcome measure: Changes in process‐of‐care indicators between baseline and post‐intervention periods. Results: Compared with baseline, more patients with ACS in the post‐intervention period received therapeutic heparin regimens (84% v 72%; P < 0.001), angiotensin‐converting enzyme inhibitors (64% v 56%; P = 0.02), lipid‐lowering agents (72% v 62%; P < 0.001), early use of coronary angiography (52% v 39%; P < 0.001), in‐hospital cardiac counselling (65% v 43%; P < 0.001), and referral to cardiac rehabilitation (15% v 5%; P < 0.001). The numbers of patients with CHF receiving β‐blockers also increased (52% v 34%; P < 0.001), with fewer patients receiving deleterious agents (13% v 23%; P = 0.04). Same‐cause 30‐day readmission rate decreased from 7.2% to 2.4% (P = 0.02) in patients with CHF. Conclusion: Quality‐improvement interventions conducted as multisite collaborations may improve in‐hospital care of acute cardiac conditions within relatively short time frames.

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Section: Methodsmentioning

confidence: 99%

Multisite, quality‐improvement collaboration to optimise cardiac care in Queensland public hospitals

Scott

Darwin

Harvey

et al. 2004

Medical Journal of Australia

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“…In 1996−7, 12 400 deaths and 156 000 hospitalizations were attributed to ACS in Australia, with an estimated health‐care cost of A$168 million 1 . Since early in the year 2000, evidence‐based clinical practice guidelines relating to the in‐hospital management of these syndromes were produced by professional cardiac societies in Australia and New Zealand 2 and overseas 3,4 . Attempts at developing valid and reliable performance measures for purposes of benchmarking and feedback are currently under way 5…”

Section: Introductionmentioning

confidence: 99%

Quality of care of patients hospitalized with acute coronary syndromes

Scott

Denaro

Flores

et al. 2002

Internal Medicine Journal

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“…Organised care of patients with stroke is known to improve outcomes, 1 yet only a small proportion of patients receive this care in Australia 2 . Similarly, the publication of national guidelines 3 and academic detailing 4 have had little or no effect on the use of drugs that are known to improve outcomes for patients presenting with acute coronary syndromes (ACS). Multifaceted interventions 5 that change the system of care may be the best way to translate research evidence into best practice 6 …”

mentioning

confidence: 99%

Towards a Safer Culture: clinical pathways in acute coronary syndromes and stroke

Ferry¹,

Fitzpatrick²,

Long

et al. 2004

Medical Journal of Australia

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Towards a Safer Culture (TASC) aims to provide a safer culture in hospital departments by introducing clinical pathways for the management of patients with acute coronary syndromes or stroke. Specific clinical pathways have been implemented for patients with different levels of risk to guide the most appropriate evidence‐based medical care for each patient. Pathways facilitate continuity of care across different clinical departments by identifying gaps in care, and clarifying tasks and responsibilities. A multidisciplinary and interdepartmental approach to managing patients is seen as an effective way of effecting change. A system for “point‐of‐care” data acquisition, a centralised database and web‐based reporting enable benchmarking for participating hospitals. A comprehensive range of educational/training strategies is used to facilitate multidisciplinary teamwork and promote clinical leadership. Phase 1 of TASC was successfully piloted at four hospitals in New South Wales, Victoria and Queensland. TASC is currently being rolled out to 29 hospitals in NSW and three hospitals in Western Australia.

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Management of unstable angina. Guidelines – 2000

Cited by 15 publications

References 1 publication

Multisite, quality‐improvement collaboration to optimise cardiac care in Queensland public hospitals

Multisite, quality‐improvement collaboration to optimise cardiac care in Queensland public hospitals

Quality of care of patients hospitalized with acute coronary syndromes

Towards a Safer Culture: clinical pathways in acute coronary syndromes and stroke

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