eCite Digital Repository

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


Peterson, GM and Thompson, A and Pulver, LK and Robertson, MB and Brieger, D and Wai, A and Tett, SE, Management of acute coronary syndromes at hospital discharge: Do targeted educational interventions improve practice quality?, Journal for Healthcare Quality, 34, (1) pp. 26-34. ISSN 1062-2551 (2012) [Refereed Article]

Copyright Statement

Copyright 2011 National Association for Healthcare Quality

DOI: doi:10.1111/j.1945-1474.2011.00137.x


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.

Item Details

Item Type:Refereed Article
Keywords:acute coronary syndromes, continuum of care, medication, quality improvement, audit
Research Division:Biomedical and Clinical Sciences
Research Group:Pharmacology and pharmaceutical sciences
Research Field:Clinical pharmacology and therapeutics
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Peterson, GM (Professor Gregory Peterson)
UTAS Author:Thompson, A (Mr Angus Thompson)
ID Code:68855
Year Published:2012
Web of Science® Times Cited:15
Deposited By:Research Division
Deposited On:2011-03-28
Last Modified:2017-11-03
Downloads:1 View Download Statistics

Repository Staff Only: item control page