Health resource variability in the achievement of optimal performance and clinical outcome

Carolyn M. Astley, Colin J. MacDougall, Patricia M Davidson, Derek P. Chew

Research output: Contribution to journalArticle

Abstract

Background-An evidence-practice gap in acute coronary syndromes (ACS) is commonly recognized. System, provider, and patient factors can influence guideline adherence. Through using guideline facilitators in the clinical setting, the uptake of evidence-based recommendations may be increased. We hypothesized that facilitators of guideline recommendations (systems, tools, and workforce) in acute cardiac care were associated with increased guideline adherence and decreased adverse outcome. Methods and Results-A cross-sectional evaluation of guideline facilitators was conducted in Australian hospitals. The population was derived from the Acute Coronary Syndrome Prospective Audit (ACACIA) and assessed performance, death, and recurrent myocardial infarction (death/re-MI) at 30 days and 12 months. Thirty-five hospitals and 2392 patients participated. Significant associations with decreased death/re-MI were observed with hospital strategies to facilitate primary percutaneous coronary intervention for ST-elevation MI patients (38/428 [8.9%] versus 30/154 [19.5%], P

Original languageEnglish (US)
Pages (from-to)512-520
Number of pages9
JournalCirculation: Cardiovascular Quality and Outcomes
Volume4
Issue number5
DOIs
StatePublished - Sep 2011
Externally publishedYes

Fingerprint

Health Resources
Guideline Adherence
Guidelines
Acute Coronary Syndrome
Myocardial Infarction
Percutaneous Coronary Intervention
Population

Keywords

  • Acute cardiac care
  • Acute coronary syndromes
  • Guideline adherence
  • Knowledge translation
  • Quality improvement

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

Cite this

Health resource variability in the achievement of optimal performance and clinical outcome. / Astley, Carolyn M.; MacDougall, Colin J.; Davidson, Patricia M; Chew, Derek P.

In: Circulation: Cardiovascular Quality and Outcomes, Vol. 4, No. 5, 09.2011, p. 512-520.

Research output: Contribution to journalArticle

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