University of Tasmania
Browse

File(s) under permanent embargo

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

journal contribution
posted on 2023-05-17, 05:33 authored by Gregory PetersonGregory Peterson, Angus ThompsonAngus Thompson, Pulver, LK, Robertson, MB, Brieger, D, Wai, A, Tett, SE
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 guidelinerecommended 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%; po.0001); short-acting nitrates (68% vs. 56%; p 0.0001); and documented referral to CR (68% vs. 57%; p 0.0001). 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.

Funding

National Prescribing Service Ltd

History

Publication title

Journal for Healthcare Quality

Volume

34

Pagination

26-34

ISSN

1062-2551

Department/School

School of Pharmacy and Pharmacology

Publisher

Wiley-Blackwell

Place of publication

Malden MA, USA

Rights statement

Copyright 2011 National Association for Healthcare Quality

Repository Status

  • Restricted

Socio-economic Objectives

Clinical health not elsewhere classified

Usage metrics

    University Of Tasmania

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC