Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2010-3-10
pubmed:abstractText
The American College of Cardiology and the American Heart Association guidelines are the nationally accepted standards for the treatment of patients with acute coronary syndromes. Despite this recognition, adherence to guideline recommendations remains suboptimal with 25% of opportunities to provide guideline appropriate care missed. To address performance gaps related to acute coronary syndrome care and improve patient outcomes, a performance improvement (PI) initiative was designed for cardiologists and emergency department physicians. As an American Medical Association-approved, standardized continuing medical education initiative, participating physicians can earn up to 20 American Medical Association-PRA Category 1 Credits by completing 2 phases of self-assessment in addition to developing and implementing a PI plan to address self-identified areas where improvement in patient care is needed. As the second in a series of 3 articles, this article describes the initial data submitted by 101 participating physicians and how their treatment practices compared with American College of Cardiology/American Heart Association guidelines as well as with current national standards. Overall, participating physicians meet guideline expectations with performance and documentation of a 12-lead electrocardiography, measurement of cardiac biomarkers, and administration of aspirin. Identified areas of improvement were the standardization of treatment protocols, use of risk assessment scores, appropriate dosing of anticoagulants, and improvement in patient treatment times. A noted challenge of this PI initiative is the low rate of physician participation, with fewer than 10% of registered physicians actively submitting patient data. This fact may reflect several barriers to PI, such as: (1) lack of time to collect and submit data, (2) the belief that current practices do not need to be improved, and (3) the need for system-based improvements.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
1535-2811
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
9
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
23-9
pubmed:meshHeading
pubmed-meshheading:20215907-Acute Coronary Syndrome, pubmed-meshheading:20215907-American Medical Association, pubmed-meshheading:20215907-Anticoagulants, pubmed-meshheading:20215907-Aspirin, pubmed-meshheading:20215907-Biological Markers, pubmed-meshheading:20215907-Cardiology, pubmed-meshheading:20215907-Education, Medical, Continuing, pubmed-meshheading:20215907-Electrocardiography, pubmed-meshheading:20215907-Emergency Medicine, pubmed-meshheading:20215907-Female, pubmed-meshheading:20215907-Guideline Adherence, pubmed-meshheading:20215907-Humans, pubmed-meshheading:20215907-Male, pubmed-meshheading:20215907-Physician's Practice Patterns, pubmed-meshheading:20215907-Practice Guidelines as Topic, pubmed-meshheading:20215907-Quality Assurance, Health Care, pubmed-meshheading:20215907-Risk Assessment, pubmed-meshheading:20215907-Societies, Medical, pubmed-meshheading:20215907-Time Factors, pubmed-meshheading:20215907-United States
pubmed:year
2010
pubmed:articleTitle
Physician practice patterns in acute coronary syndromes: an initial report of an individual quality improvement program.
pubmed:affiliation
Cardiovascular Division, Brigham and Women's Hospital, Boston, MA, USA.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't