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Audit and feedback report
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Hospital/institution
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Audit report summarized the key performance indicators of hospital in comparison to other hospitals in the cohort and all the hospitals participating in the ACS QUIK trial.
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Formative work identified lack of systems to track quality of care indicators
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We hypothesize that monthly review of audit report stimulates clinical team to set goals to make changes that will improve processes and clinical outcomes.
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Clinical team used evidence provided in the audit report for 50–85% of their patients but quality improvement meetings were rare and changes in clinical practice based on these data were not identified.
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Observed
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Admission and discharge checklists
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Physician, nurse
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Admission and discharge checklists incorporated evidence-based guideline recommended treatment for acute myocardial infraction care at admission and discharge.
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To minimize variability in practice across hospitals and promote checklists to embed evidence in decision-making
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Checklists enhance prescription of evidence-based treatment in-hospital and at discharge.
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Overall improved prescription of aspirin, beta-blocker and statins at discharge.
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Observed
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Patient education materials
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Patient
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Patient education materials were developed with a focus on tobacco cessation, diet, exercise and cardiac rehabilitation post-acute myocardial infarction.
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Lack of tobacco cessation counseling, heart-healthy diet and exercise information for patients with acute myocardial infarction
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Patient education sped-up recovery post-event and reduce the risk of recurrent event.
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Education material may have enhanced patient self-care post-acute myocardial infarction.
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Implied
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Guidelines to develop rapid response and code blue team
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Hospital/institutional
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Guidelines and relevant training were provided to the team to establish rapid response and code teams.
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Absence of rapid response and code team in most settings
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Development of rapid response and code team facilitated clinical team to do their work more efficiently and are therefore valued.
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Evidence will be considered more systematically across departments when policy is developed and implemented.
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Anticipated
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